Individual
DEEPTI MISHRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
425 CARLISLE DR STE A, HERNDON, VA 20170-5618
(571) 508-8980
Mailing address
12207 MEADOWSTREAM CT, HERNDON, VA 20170-2748
(703) 624-7190
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008624
VA
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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