| Fairfax Mental Health & Wellness | |
|
3554 Chain Bridge Rd Ste 200 Fairfax VA 22030-2709 | |
| (703) 896-7628 | |
| Not Available |
| Full Name | Fairfax Mental Health & Wellness |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3554 Chain Bridge Rd Ste 200, Fairfax, Virginia |
| Authorized Official Name and Position | Jon Shore (CEO) |
| Authorized Official Contact | 7329966164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfax Mental Health & Wellness 3554 Chain Bridge Rd Ste 200 Fairfax VA 22030-2709 Ph: (703) 896-7628 | Fairfax Mental Health & Wellness 3554 Chain Bridge Rd Ste 200 Fairfax VA 22030-2709 Ph: (703) 896-7628 |
| NPI Number | 1699201749 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 09/28/2024 |
| Certification Date | 09/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699201749 | NPI | - | NPPES |
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