| Atlantic Counseling Group | |
|
20925 Professional Plz Ste 230 Ashburn VA 20147-3403 | |
| (703) 665-0949 | |
| (703) 665-7686 |
| Full Name | Atlantic Counseling Group |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 20925 Professional Plz Ste 230, Ashburn, Virginia |
| Authorized Official Name and Position | Mike Vazzana (PARTNER) |
| Authorized Official Contact | 7036650949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Counseling Group 20925 Professional Plz Ste 230 Ashburn VA 20147-3403 Ph: (703) 665-0949 | Atlantic Counseling Group 20925 Professional Plz Ste 230 Ashburn VA 20147-3403 Ph: (703) 665-0949 |
| NPI Number | 1578904702 |
|---|---|
| Provider Enumeration Date | 07/16/2013 |
| Last Update Date | 06/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578904702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
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