Jay Dmitri Varela, | |
5510 Cherokee Ave Ste 300, Alexandria, VA 22312-2320 | |
(571) 206-8017 | |
Not Available |
Full Name | Jay Dmitri Varela |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 5510 Cherokee Ave Ste 300, Alexandria, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619683208 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (Virginia) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210331001144 |
Mailing Address | Practice Location Address |
---|---|
Jay Dmitri Varela, 5510 Cherokee Ave Ste 300, Alexandria, VA 22312-2320 Ph: (571) 206-8017 | Jay Dmitri Varela, 5510 Cherokee Ave Ste 300, Alexandria, VA 22312-2320 Ph: (571) 206-8017 |
Dr. John-paul James, PH.D., D.MIN., DACBN Counselor Medicare: Not Enrolled in Medicare Practice Location: 2800 Eisenhower Ave, Alexandria, VA 22314 Phone: 240-383-4800 Fax: 240-846-1533 | |
Mrs. Kasey Lynn Gordon Cain, RESIDENT INCOUNSELIG Counselor Medicare: Not Enrolled in Medicare Practice Location: 2850 Eisenhower Ave, Alexandria, VA 22314 Phone: 703-991-6005 | |
Amber Ferguson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2800 Eisenhower Ave Ste 200, Alexandria, VA 22314 Phone: 703-562-9220 Fax: 703-520-7745 | |
Qi Chen, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3361 Beechcliff Dr, Alexandria, VA 22306 Phone: 970-889-9295 | |
Karin Layne, QMHP, CASAC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 S Whiting St Ste 600, Alexandria, VA 22304 Phone: 571-257-8631 Fax: 571-231-4304 | |
Ms. Lynn Marie Fritts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 N Saint Asaph St, Alexandria, VA 22314 Phone: 703-838-6400 Fax: 703-838-5062 | |
Alycia Gayle Burant, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 N Washington St, Suite 322, Alexandria, VA 22314 Phone: 703-408-3512 |