Provider Demographics
NPI:1073717583
Name:OZALAS, ELIZABETH ANN (MA, LPC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:OZALAS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21641 RIDGETOP CIR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-6597
Mailing Address - Country:US
Mailing Address - Phone:571-258-3012
Mailing Address - Fax:571-258-3032
Practice Address - Street 1:21641 RIDGETOP CIR
Practice Address - Street 2:SUITE 105
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-6597
Practice Address - Country:US
Practice Address - Phone:571-258-3012
Practice Address - Fax:571-258-3032
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005085101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional