Provider Demographics
NPI:1821439613
Name:ARGOW, MARYLOU (MEDLPC, LMFT, LSATP)
Entity Type:Individual
Prefix:
First Name:MARYLOU
Middle Name:
Last Name:ARGOW
Suffix:
Gender:F
Credentials:MEDLPC, LMFT, LSATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:374 MAPLE AVE E STE 202
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-4718
Mailing Address - Country:US
Mailing Address - Phone:703-272-5912
Mailing Address - Fax:
Practice Address - Street 1:374 MAPLE AVE E STE 202
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4718
Practice Address - Country:US
Practice Address - Phone:703-272-5912
Practice Address - Fax:703-281-6799
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-09
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0718000062101YA0400X
VA0701002180101YM0800X
VA0717000289106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health