Individual provider · Type 1 NPI
Mary Linda Sara, PhD
Professional Counselor · Reston, VA
NPI number
1720398936
Active
Practice location
11367 Sunset Hills Rd
Reston, VA 20190-5205
Fax (703) 437-6872
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 0701-001044 (VA) |
| Marriage & Family Therapist | 106H00000X | 0717-000804 (VA) |
Professional Counselor: Definition to come...
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About NPI 1720398936
Mary Linda Sara, PhD's National Provider Identifier is 1720398936, issued on Oct 21, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Reston, VA. The record was last updated on Oct 21, 2010.