| Doctor Name: | AUDRA MRINI |
| NPI Number: | 1093177644 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, NCC |
| License Number: | |
| Business Practice Address: | 6935 Columbia Pike Annandale, VA - 220033458 |
| Business Phone Number: | 7039039696 |
| Business Fax Number: | 7038212505 |
| Mailing Address: | Po Box Qq, MC LEAN |
| State: | VA |
| Postal Code: | 221010700 |
| Phone Number: | 7039039696 |
| Fax Number: | 7038212505 |
| NPI Enumeration Date: | 03/23/2016 |
| NPI Last Update Date: | 03/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |