Provider Demographics
NPI:1972678274
Name:MAZZARA, KAREN ANN (MS, LPC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:MAZZARA
Suffix:
Gender:
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18257 OAK RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PURCELLVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20132
Mailing Address - Country:US
Mailing Address - Phone:571-228-3904
Mailing Address - Fax:
Practice Address - Street 1:44084 RIVERSIDE PKWY #240
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176
Practice Address - Country:US
Practice Address - Phone:703-724-0200
Practice Address - Fax:703-724-1580
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0701003464101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional