| Selah Solutions, Llc | |
|
4660 Kenmore Ave Ste 701 Alexandria VA 22304-1306 | |
| (571) 354-0338 | |
| (571) 386-2663 |
| Full Name | Selah Solutions, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4660 Kenmore Ave Ste 701, Alexandria, Virginia |
| Authorized Official Name and Position | Janice Petty (SOLE PROPRIETOR) |
| Authorized Official Contact | 5713540338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Selah Solutions, Llc 13227 Lenfant Dr Fort Washington MD 20744-6539 Ph: (757) 377-2361 | Selah Solutions, Llc 4660 Kenmore Ave Ste 701 Alexandria VA 22304-1306 Ph: (571) 354-0338 |
| NPI Number | 1245850510 |
|---|---|
| Provider Enumeration Date | 04/16/2020 |
| Last Update Date | 04/16/2020 |
| Certification Date | 04/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245850510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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