| Imago Dei Counseling And Coaching | |
|
10500 Sager Ave Ste D Fairfax VA 22030-2414 | |
| (571) 237-3463 | |
| Not Available |
| Full Name | Imago Dei Counseling And Coaching |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10500 Sager Ave Ste D, Fairfax, Virginia |
| Authorized Official Name and Position | Dawn Marie Zimmerman (OWNER) |
| Authorized Official Contact | 5712373463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imago Dei Counseling And Coaching 10500 Sager Ave Ste D Fairfax VA 22030-2414 Ph: (571) 237-3463 | Imago Dei Counseling And Coaching 10500 Sager Ave Ste D Fairfax VA 22030-2414 Ph: (571) 237-3463 |
| NPI Number | 1831644798 |
|---|---|
| Provider Enumeration Date | 08/22/2016 |
| Last Update Date | 08/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831644798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701002942 (Virginia) | Primary |
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