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Organization
JIRAH CORPORATION
Active
Organization
JIRAH CORPORATION
Active
Other names
Ellie Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SARNO (PRESIDENT)
(910) 526-1056
Entity
Organization
Contact information
Practice address
10301 DEMOCRACY LN STE 301302, FAIRFAX, VA 22030-2545
(571) 223-7588
Mailing address
6303 BARSKY CT, FAIRFAX STATION, VA 22039-1642
(910) 526-1056
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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