Individual
LISA LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6801 WHITTIER AVE STE 300, MC LEAN, VA 22101-4549
(703) 734-0787
(703) 734-2735
Mailing address
6801 WHITTIER AVE STE 300, MC LEAN, VA 22101-4549
(703) 734-0787
(703) 734-2735
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717000990
VA
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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