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Ms. Mary Tiernan Brough, LPC
Mental Health Counselor in Reston, Virginia
NPI 1356438071

Mary Tiernan Brough is a Mental Health Counselor based in Reston, VA and is specialized in Mental Health. Mary Tiernan Brough practices in Reston, VA and has the professional credentials of LPC. The NPI Number for Mary Tiernan Brough is 1356438071 and holds a License No. 0701001827 (Virginia).

The current practice location address for Mary Tiernan Brough is 11333 Sunset Hills Rd, Reston, VA and can be reached out via phone at 703-742-8540.

Location: 11333 Sunset Hills Rd, Reston, VA, 20190-5205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356438071
Provider Name
Mary Tiernan Brough
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
11333 Sunset Hills Rd, Reston, VA, 20190-5205
Phone Number
703-742-8540
Fax Number
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
088958 01 VA BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
11333 Sunset Hills Rd
City
Reston
State
Virginia
Zip
20190-5205
Phone Number
703-742-8540
Fax Number
person
Provider Business Mailing Address Details
Address
11333 Sunset Hills Rd
City
Reston
State
Virginia
Zip
20190-5205
Phone Number
703-742-8540
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
0701001827 (Virginia)
Definition
Definition to come...
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