Individual
OCTAVIA HAUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7611 LITTLE RIVER TPKE, ANNANDALE, VA 22003-2611
(703) 531-2145
Mailing address
12328 GRANADA WAY, WOODBRIDGE, VA 22192-6290
(240) 222-2961
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701008889
VA
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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