Unknown Individual – Professional Counselor, NPI 1700872306
Professional Counselor
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1587 BRASS LANTERN WAY
RESTON, VA 201941225
Phone: (703) 834-1976
Fax: (703) 938-2440
Type: Mailing
Maple Avenue West, Vienna, Fairfax County, Virginia, 22190, United States
SUITE A-2
VIENNA, VA 221804307
Phone: (703) 938-2440
Fax: (703) 938-2440
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 20194)
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