Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Moussa, LPC, CSAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1205456126

Mary Moussa, LPC, CSAC is an Addiction (Substance Use Disorder) Counselor in Fairfax, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2020
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

10560 Main St Ste 415
Fairfax, VA 22030-7174
Phone: (571) 318-6710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 0701009845 (VA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 0710103429 (VA)

Record details

NPI number1205456126
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , CSAC
Sole proprietorYes
NPI enumeratedApril 21, 2020
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024

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