Provider Demographics
NPI:1821109745
Name:SMITH, ANNA CLAIRE (LPC, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:CLAIRE
Last Name:SMITH
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6503 LAMESE CT
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-2821
Mailing Address - Country:US
Mailing Address - Phone:703-451-8248
Mailing Address - Fax:703-704-6795
Practice Address - Street 1:8350 RICHMOND HWY
Practice Address - Street 2:SUITE 515
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-2300
Practice Address - Country:US
Practice Address - Phone:703-704-6705
Practice Address - Fax:703-704-6795
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701001881101Y00000X
VA0717000425106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist