Brian D Anderson
Counselor, Professional in Fairfax, VA. Individual provider (NPI-1).
NPI number1073051629
StatusActive
Last updated in NPPESFeb 3, 2017
Details
- NPI
- 1073051629
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brian D Anderson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 3, 2017
- Last updated
- Feb 3, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 0701006894 | VA | Yes |
Practice location
8221 Willow Oaks Corporate DrSuite 4-420
Fairfax, VA 22031-4512
Phone 703-289-7560 · Fax 703-204-9001
Mailing address
8221 Willow Oaks Corporate DrSuite 4-420
Fairfax, VA 22031-4512
Phone 703-289-7560 · Fax 703-204-9001
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