Provider Demographics
NPI:1124213830
Name:DEL VILLAR, MARIA EUGENIA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:EUGENIA
Last Name:DEL VILLAR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3047 HICKORY GROVE CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-1145
Mailing Address - Country:US
Mailing Address - Phone:703-618-2798
Mailing Address - Fax:703-228-2720
Practice Address - Street 1:6013 TOWER CT
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-3201
Practice Address - Country:US
Practice Address - Phone:703-618-2798
Practice Address - Fax:999-999-9999
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904004784101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health