Individual
MS. CARTER G BAGNALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1360 BEVERLY RD STE 200, MC LEAN, VA 22101-3647
(804) 207-6737
Mailing address
1360 BEVERLY RD STE 200, MC LEAN, VA 22101-3647
(804) 207-6737
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701012441
VA
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
06/02/2020
Last updated
04/28/2023
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