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Organization
TESTUDO RECOVERY INC
Active
Organization
TESTUDO RECOVERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN CARBONEAU PHD (EXECUTIVE DIRECTOR)
(540) 521-1017
Entity
Organization
Contact information
Practice address
43330 JUNCTION PLZ STE 114, ASHBURN, VA 20147-3407
(540) 521-1017
Mailing address
43330 JUNCTION PLZ STE 114, ASHBURN, VA 20147-3407
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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