NPI 1972939502

Lorraine Longfellow, LMFT

Practitioner Marriage & Family Therapist Burke, VA

Practice location

Address: 5205 Lyngate CT, Burke, VA 22015-1692
Phone: (703) 596-2094
Mailing address: 4911 Magdalene CT, Annandale, VA 22003-4363

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 0717001259 (VA)

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Registry record

NPI: 1972939502
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Sep 2013
Record last updated: 20 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.