Individual
LETIZIA N/A FARISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 W BRADDOCK RD, ALEXANDRIA, VA 22302-3601
(301) 292-2778
Mailing address
3102 FLORAL PARK RD, CLINTON, MD 20735-9665
(301) 292-2778
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LGP13713
MD
101YP2500X
Professional Counselor
Primary
0704015747
VA
Other
Enumeration date
03/22/2023
Last updated
11/08/2023
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