Individual
MARYANN BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
108 BRANDICE ST, STAFFORD, VA 22554
(540) 424-9127
Mailing address
108 BRANDICE ST, STAFFORD, VA 22554-7197
(540) 424-9127
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002717
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851715312
—
VA
Enumeration date
02/04/2014
Last updated
07/09/2018
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