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Organization
MENTAL HEALTH & ADDICTION SUPPORT SERVICES, LLC
Active
Organization
MENTAL HEALTH & ADDICTION SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALNORA BRASSELL NURSE PRACTITIONER (CEO)
(703) 953-8878
Entity
Organization
Contact information
Practice address
43330 JUNCTION PLZ # 164-607, ASHBURN, VA 20147-3406
(703) 953-8878
Mailing address
43330 JUNCTION PLZ STE 164-607, ASHBURN, VA 20147-3406
(703) 953-8878
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/28/2022
Last updated
03/25/2024
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