Individual
MRS. LIDIANE BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15063 GAINES MILL CIR, HAYMARKET, VA 20169-2592
(703) 754-3914
Mailing address
15063 GAINES MILL CIR, HAYMARKET, VA 20169-2592
(901) 825-7866
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9604
NC
Other
Enumeration date
02/18/2014
Last updated
11/03/2014
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