Individual
LISA XANTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3102 GOLANSKY BLVD STE 202, WOODBRIDGE, VA 22192-4244
(703) 596-3978
Mailing address
3102 GOLANSKY BLVD STE 202, WOODBRIDGE, VA 22192-4244
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009998
VA
Other
Enumeration date
05/29/2020
Last updated
11/04/2020
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