Provider Demographics
NPI:1831811579
Name:KOSAR, SOPHIA ANNELIESE (LMFT-R)
Entity type:Individual
Prefix:MS
First Name:SOPHIA
Middle Name:ANNELIESE
Last Name:KOSAR
Suffix:
Gender:F
Credentials:LMFT-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46175 WESTLAKE DR STE 410
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-5886
Mailing Address - Country:US
Mailing Address - Phone:703-951-6409
Mailing Address - Fax:
Practice Address - Street 1:46175 WESTLAKE DR STE 410
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-5886
Practice Address - Country:US
Practice Address - Phone:703-951-6409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0730000600106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist