person
Shirley Derosa, LPC
Professional Counselor in Reston, Virginia
NPI 1730889635

Shirley Derosa is a Professional Counselor based in Herndon, VA and is specialized in Professional. Shirley Derosa practices in Reston, VA and has the professional credentials of LPC. The NPI Number for Shirley Derosa is 1730889635 and holds a License No. 0701012114 (Virginia).

The current practice location address for Shirley Derosa is 11921 Freedom Dr Ste 550, Reston, VA and can be reached out via phone at 703-826-1353.

Location: 11921 Freedom Dr Ste 550, Reston, VA, 20171-1532
person
Provider Profile Details
NPI Number
1730889635
Provider Name
Shirley Derosa
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
11921 Freedom Dr Ste 550, Reston, VA, 20171-1532
Phone Number
703-826-1353
Fax Number
Provider Enumeration Date
03/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11921 Freedom Dr Ste 550
City
State
Zip
20190-5635
Phone Number
703-826-1353
Fax Number
person
Provider Business Mailing Address Details
Address
11921 Freedom Dr Ste 550
City
State
Zip
20190-5635
Phone Number
703-826-1353
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701012114 (Virginia)
Definition
Definition to come...
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