| Doctor Name: | ANNE CORNISH HUERTAS |
| NPI Number: | 1124031166 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 0701003810 |
| Business Practice Address: | 14150 Parkeast Cir Suite 200 Chantilly, VA - 201512295 |
| Business Phone Number: | 7039684028 |
| Business Fax Number: | 7032631724 |
| Mailing Address: | 14150 Parkeast Cir, Suite 200 CHANTILLY |
| State: | VA |
| Postal Code: | 201512295 |
| Phone Number: | 7039684028 |
| Fax Number: | 7032631724 |
| NPI Enumeration Date: | 08/14/2006 |
| NPI Last Update Date: | 09/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0701003810 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |