INGRID P BASURTO

FAIRFAX, VA
NPI1306665310
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: VA  0704016140)
Enumeration Date2024-10-07
Last Update Date2024-10-07
Business Address
Mrs. INGRID P BASURTO
3919 BLENHEIM BLVD STE 83B
FAIRFAX, VA 22030-2430
Phone number: 571-559-2181
Mailing Address
Mrs. INGRID P BASURTO
1922 S WALTER REED DR
ARLINGTON, VA 22204-5113
Phone number: