JAIME JESUS HENAO

ALEXANDRIA, VA
NPI1215098116
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA  0710101709)
Enumeration Date2006-12-13
Last Update Date2007-07-08
Business Address
-- JAIME JESUS HENAO CSAC
720 N SAINT ASAPH ST
ALEXANDRIA, VA 22314-1912
Phone number: 703-838-4455
Mailing Address
-- JAIME JESUS HENAO CSAC
5940 COVE LANDING RD
BURKE, VA 22015-4790
Phone number: 703-250-8766
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