Individual
JONATHAN S MAURER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
9507 GAUGE DR, FAIRFAX STATION, VA 22039-3210
(703) 677-6879
Mailing address
42009 VICTORY LN, LEESBURG, VA 20176-6269
(703) 554-0800
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701013334
VA
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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