Individual
MRS. ELIZABETH RAPP FARASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
43130 AMBERWOOD PLZ STE 140, CHANTILLY, VA 20152-4107
(513) 509-7064
Mailing address
25476 CROSSFIELD DR, CHANTILLY, VA 20152-3904
(513) 509-7064
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008120
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701008120
LPC LICENSE
VA
Enumeration date
01/20/2019
Last updated
01/20/2019
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