Individual provider · Type 1 NPI
Mark Earl Sr., MS
Mental Health Counselor · Leesburg, VA
NPI number
1871995423
Active
Practice location
102 Heritage Way, SE Suite 302
Leesburg, VA 20176-9813
Fax (703) 771-0320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1871995423
Mark Earl Sr., MS's National Provider Identifier is 1871995423, issued on Sep 25, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Leesburg, VA. The record was last updated on Sep 25, 2014.