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Dr. Virginia L Revere, PHD
Mental Health Counselor in Alexandria, Virginia
NPI 1538174107

Virginia L Revere is a Mental Health Counselor based in Alexandria, VA and is specialized in Mental Health. Virginia L Revere practices in Alexandria, VA and has the professional credentials of PHD. The NPI Number for Virginia L Revere is 1538174107 and holds a License No. 0810000939 (Virginia).

The current practice location address for Virginia L Revere is 9012 Linton Ln, Alexandria, VA and can be reached out via phone at 703-780-4872.

Location: 9012 Linton Ln, Alexandria, VA, 22308-2733
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538174107
Provider Name
Virginia L Revere
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
9012 Linton Ln, Alexandria, VA, 22308-2733
Phone Number
703-780-4872
Fax Number
Provider Enumeration Date
07/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7703431 05 VA
institution
Provider Business Practice Location Address Details
Address
9012 Linton Ln
City
Alexandria
State
Virginia
Zip
22308-2733
Phone Number
703-780-4872
Fax Number
person
Provider Business Mailing Address Details
Address
9012 Linton Ln
City
Alexandria
State
Virginia
Zip
22308-2733
Phone Number
703-780-4872
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
0810000939 (Virginia)
Definition
Definition to come...
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