Individual
MRS. BARBARA E LAVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1360 BEVERLY RD STE 200, MC LEAN, VA 22101-3647
(804) 207-6737
Mailing address
1360 BEVERLY RD STE 200, MC LEAN, VA 22101-3647
(804) 207-6737
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005747
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30016458300007
—
VA
Enumeration date
09/23/2014
Last updated
11/28/2023
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