Individual
MS. SANDERIJN IRENE BATELAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
224A CORNWALL ST NW, 301, LEESBURG, VA 20176-2701
(703) 443-2000
Mailing address
1520 CHATHAM COLONY CT, RESTON, VA 20190-4203
(703) 629-4531
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904005774
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821030172
—
VA
Enumeration date
06/12/2006
Last updated
09/18/2012
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