Individual provider · Type 1 NPI

Anton William Derosa, LPC

Mental Health Counselor · Falls Church, VA

NPI number 1679162929 Active

Practice location

200 Little Falls St Ste 306
Falls Church, VA 22046-4302

Mailing address

6054 Forrest Hollow Ln
Springfield, VA 22152-1428

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0701013232 (VA)

Mental Health Counselor: Definition to come...

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About NPI 1679162929

Anton William Derosa, LPC's National Provider Identifier is 1679162929, issued on Jan 12, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Falls Church, VA. The record was last updated on Feb 1, 2024.