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Mrs. Theresa Marie George, LPC
Mental Health Counselor in Leesburg, Virginia
NPI 1760592612

Theresa Marie George is a Mental Health Counselor based in Leesburg, VA and is specialized in Mental Health. Theresa Marie George practices in Leesburg, VA and has the professional credentials of LPC. The NPI Number for Theresa Marie George is 1760592612 and holds a License No. 0701003264 (Virginia).

The current practice location address for Theresa Marie George is 102 Heritage Way Ne, Leesburg, VA and can be reached out via phone at 703-771-5163.

Location: 102 Heritage Way Ne, Leesburg, VA, 20176-4544
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760592612
Provider Name
Theresa Marie George
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
102 Heritage Way Ne, Leesburg, VA, 20176-4544
Phone Number
703-771-5163
Fax Number
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
385153 01 VA ANTHEM
540948306 01 VA TRICARE
293870 01 VA AMERIGROUP
institution
Provider Business Practice Location Address Details
Address
102 Heritage Way Ne
City
Leesburg
State
Virginia
Zip
20176-4544
Phone Number
703-771-5163
Fax Number
person
Provider Business Mailing Address Details
Address
102 Heritage Way Ne
City
Leesburg
State
Virginia
Zip
20176-4544
Phone Number
703-771-5163
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
0701003264 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
0701003264 (Virginia)
Definition
Definition to come...
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