Individual
LAUREN SARA MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
1487 CHAIN BRIDGE RD STE 204, MC LEAN, VA 22101-5723
(571) 265-3465
Mailing address
1069 W BROAD ST # 804, FALLS CHURCH, VA 22046-4610
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008784
VA
Other
Enumeration date
12/22/2019
Last updated
02/03/2020
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