SAMANTHA RUSSELL-PORTE

HAYMARKET, VA
NPI1285351510
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: VA  0717001958)
Enumeration Date2022-10-26
Last Update Date2022-10-26
Business Address
SAMANTHA RUSSELL-PORTE
6611 JEFFERSON ST STE 304
HAYMARKET, VA 20169-4902
Phone number: 703-844-6441
Mailing Address
SAMANTHA RUSSELL-PORTE
12158 PENDERVIEW LN APT 1722
FAIRFAX, VA 22033-4750
Phone number:
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