Brynnan Reddy, LLC
Counselor, Mental Health in Springfield, VA. Organization (NPI-2).
NPI number1417333923
StatusActive
Last updated in NPPESAug 6, 2015
Details
- NPI
- 1417333923
- Entity type
- Organization (NPI-2)
- Legal business name
- Brynnan Reddy, LLC
- Organization subpart
- No
- Enumeration date
- Aug 6, 2015
- Last updated
- Aug 6, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 0701005819 | VA | Yes |
Practice location
8440 Old Keene Mill RdSpringfield, VA 22152-2302
Phone 703-569-1300
Mailing address
8323 Kingsgate RdSpringfield, VA 22152-1132
Phone 571-388-8842
Authorized official
Brynnan Reddy
Owner
5713888842
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