Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | NOT YET LICENSED | VA |
NPI | 1295139947 |
---|---|
Provider Name | Deborah Styler |
First Address | Mc Lean, VA 22101-0700 |
Second Address | Manassas, VA 20110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2014 |
Last Update Date | 09/10/2014 |