| Faith James Phd Lpc | |
|
10432 Balls Ford Rd Ste 300 Manassas VA 20109-2517 | |
| (703) 629-9116 | |
| Not Available |
| Full Name | Faith James Phd Lpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10432 Balls Ford Rd Ste 300, Manassas, Virginia |
| Authorized Official Name and Position | Faith Jackson James (CEO) |
| Authorized Official Contact | 7036299116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith James Phd Lpc 10432 Balls Ford Rd Ste 300 Manassas VA 20109-2517 Ph: () - | Faith James Phd Lpc 10432 Balls Ford Rd Ste 300 Manassas VA 20109-2517 Ph: (703) 629-9116 |
| NPI Number | 1104427079 |
|---|---|
| Provider Enumeration Date | 11/05/2020 |
| Last Update Date | 11/05/2020 |
| Certification Date | 11/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104427079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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