FAIRFAX MENTAL HEALTH & WELLNESS

FAIRFAX, VA
NPI1699201749
Entity TypeOrganization
Authorized ContactJONATHAN A SHORE
COO
703-663-4041
Organization Subpart ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: VA  810004513)
Enumeration Date2017-05-11
Last Update Date2017-05-11
Business Address
FAIRFAX MENTAL HEALTH & WELLNESS
3554 CHAIN BRIDGE RD SUITE 103
FAIRFAX, VA 22030-2709
Phone number: 703-896-7628
Mailing Address
FAIRFAX MENTAL HEALTH & WELLNESS
3554 CHAIN BRIDGE RD SUITE 103
FAIRFAX, VA 22030-2709
Phone number: 703-896-7628
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