Provider Demographics
NPI:1598987422
Name:DECARDI, ADLIN MARIA (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:ADLIN
Middle Name:MARIA
Last Name:DECARDI
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7476
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22195-7476
Mailing Address - Country:US
Mailing Address - Phone:703-328-1614
Mailing Address - Fax:
Practice Address - Street 1:8140 ASHTON AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-5698
Practice Address - Country:US
Practice Address - Phone:571-229-1053
Practice Address - Fax:703-368-8454
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2014-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 31074106H00000X
VA0717001239106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist