Mary M Bagby, LPC
Counselor, Professional in Springfield, VA. Individual provider (NPI-1).
NPI number1710923180
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1710923180
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mary M Bagby
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 22, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 0701002092 | VA | Yes |
| 101YP2500X | Counselor, Professional | LCO971 | MD |
Practice location
6103 Lorcom CtSpringfield, VA 22152-1320
Phone 703-569-8518
Mailing address
6103 Lorcom CtSpringfield, VA 22152-1320
Phone 703-569-8518
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