Healthcare Provider Details

I. General information

NPI: 1689501488
Provider Name (Legal Business Name): MARIE DANNER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10400 EATON PL STE 420
FAIRFAX VA
22030-2208
US

IV. Provider business mailing address

25248 LANKFORD HWY # 182
ONLEY VA
23418-2812
US

V. Phone/Fax

Practice location:
  • Phone: 703-352-8900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701016105
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: