Individual
MS. LAURANNE KAY PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10723 MAIN ST, FAIRFAX, VA 22030-6905
(703) 903-9696
Mailing address
PO BOX QQ, MC LEAN, VA 22101-0700
(703) 903-9696
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004255
VA
Other
Enumeration date
01/20/2008
Last updated
01/20/2008
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