Individual
ASHANTI REGINA BOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LPC, LCPC
Contact information
Practice address
1945 OLD GALLOWS RD STE 515, VIENNA, VA 22182-3931
(571) 568-8794
Mailing address
1945 OLD GALLOWS RD STE 515, VIENNA, VA 22182-3931
(347) 605-4382
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
011811
NY
101YP2500X
Professional Counselor
0701013573
VA
101YP2500X
Professional Counselor
LC15988
MD
Other
Enumeration date
01/29/2020
Last updated
10/13/2025
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