Healthcare Provider Details

I. General information

NPI: 1639613243
Provider Name (Legal Business Name): SARAH MCCLERREN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2016
Last Update Date: 12/05/2022
Certification Date: 12/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6862 ELM ST STE 820
MC LEAN VA
22101-3868
US

IV. Provider business mailing address

45671 WATERLOO STATION SQ
STERLING VA
20166-3060
US

V. Phone/Fax

Practice location:
  • Phone: 703-677-8258
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC010706
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701008462
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: