Individual
MARY ELLEN EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7450 HERITAGE VILLAGE PLAZA DR., SUITE 101, GAINESVILLE, VA 20155
(703) 989-0786
(571) 261-1170
Mailing address
7450 HERITAGE VILLAGE PLAZA DR., SUITE 101, GAINESVILLE, VA 20155
(703) 989-0786
(571) 261-1170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904005256
VA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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