Individual provider · NPI-1
Samantha Calaluca, MA, LPC-R
Counselor, Mental Health · Ashburn, VA
NPI number1457026502
StatusActive
Last updated in NPPESAug 11, 2021
Details
- NPI
- 1457026502
- Entity type
- Individual (NPI-1)
- Name
- Samantha Calaluca
- Credential
- MA, LPC-R
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 11, 2021
- Certification date
- Aug 11, 2021
- Last updated
- Aug 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
20145 Ashbrook Pl Ste 180Ashburn, VA 20147-3373
Phone 703-957-0350
Mailing address
22610 Wilderness Acres CirLeesburg, VA 20175-4843
Phone 703-577-9199
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