# AEDA ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447763842
- **Authorized official:** MR. EUGENE ALLEN JR. CSAC,NCAC II (MBR)
- **Authorized official phone:** (703) 615-7574

## Contact information

- **Practice address:** 10723 MAIN ST, FAIRFAX, VA 22030-6905
- **Practice address phone:** (703) 615-7475
- **Mailing address:** 6239 SUMMER POND DR APT B, CENTREVILLE, VA 20121-4631
- **Mailing address phone:** (703) 615-7475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 0710103012 | VA | Yes |

## Other

- **Enumeration date:** 11/08/2017
- **Last updated:** 11/08/2017