Healthcare Provider Details

I. General information

NPI: 1710891676
Provider Name (Legal Business Name): CATHERINE MARY FLANERY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6901 S VAN DORN ST
ALEXANDRIA VA
22315-3961
US

IV. Provider business mailing address

6901 S VAN DORN ST
ALEXANDRIA VA
22315-3961
US

V. Phone/Fax

Practice location:
  • Phone: 703-313-6300
  • Fax:
Mailing address:
  • Phone: 703-313-6300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701016875
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: