person
Mrs. Lisa Demarco Tilley, LPC
Professional Counselor in Manassas, Virginia
NPI 1912073958

Lisa Demarco Tilley is a Professional Counselor based in Manassas, VA and is specialized in Professional. Lisa Demarco Tilley practices in Manassas, VA and has the professional credentials of LPC. The NPI Number for Lisa Demarco Tilley is 1912073958 and holds a License No. 0701003169 (Virginia).

The current practice location address for Lisa Demarco Tilley is 7969 Ashton Ave, Manassas, VA and can be reached out via phone at 703-792-7800 and via fax at 703-792-5699.

Location: 7969 Ashton Ave, Manassas, VA, 20109-2885
person
Provider Profile Details
NPI Number
1912073958
Provider Name
Lisa Demarco Tilley
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
7969 Ashton Ave, Manassas, VA, 20109-2885
Phone Number
703-792-7800
Fax Number
703-792-5699
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
292512 01 VA AMERGROUP
4945247 05 VA
434861 01 VA BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
7969 Ashton Ave
City
State
Zip
20109-2885
Phone Number
703-792-7800
Fax Number
703-792-5699
person
Provider Business Mailing Address Details
Address
7969 Ashton Ave
City
State
Zip
20109-2885
Phone Number
703-792-7800
Fax Number
703-792-5699
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701003169 (Virginia)
Definition
Definition to come...
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