Provider Demographics
NPI:1598845810
Name:SAURO, VIRGINIA (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:
Last Name:SAURO
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10784 HICKORY RIDGE RD
Mailing Address - Street 2:CROSSROADS PSYCHOLOGICAL ASSOCIATES
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3646
Mailing Address - Country:US
Mailing Address - Phone:410-964-0425
Mailing Address - Fax:410-964-0515
Practice Address - Street 1:10784 HICKORY RIDGE RD
Practice Address - Street 2:CROSSROADS PSYCHOLOGICAL ASSOCIATES
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3646
Practice Address - Country:US
Practice Address - Phone:410-964-0425
Practice Address - Fax:410-964-0515
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD08761101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health