| Ezekiel37 Counseling Llc | |
|
4460 Brookfield Corporate Dr Ste H Chantilly VA 20151-1671 | |
| (703) 200-8695 | |
| Not Available |
| Full Name | Ezekiel37 Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4460 Brookfield Corporate Dr Ste H, Chantilly, Virginia |
| Authorized Official Name and Position | Peri Nabih Rogers (OWNER/PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7032008695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ezekiel37 Counseling Llc 12735 Lady Somerset Ln Fairfax VA 22033-2236 Ph: (703) 200-8695 | Ezekiel37 Counseling Llc 4460 Brookfield Corporate Dr Ste H Chantilly VA 20151-1671 Ph: (703) 200-8695 |
| NPI Number | 1912683103 |
|---|---|
| Provider Enumeration Date | 06/23/2023 |
| Last Update Date | 06/23/2023 |
| Certification Date | 06/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912683103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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