| Doctor Name: | ELIZABETH SALAZAR |
| NPI Number: | 1003264722 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CIR |
| License Number: | |
| Business Practice Address: | 1360 Beverly Rd Ste 200 Mc Lean, VA - 221013647 |
| Business Phone Number: | 7038318300 |
| Business Fax Number: | |
| Mailing Address: | 1360 Beverly Rd Ste 200, MC LEAN |
| State: | VA |
| Postal Code: | 221013647 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/03/2016 |
| NPI Last Update Date: | 06/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |