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Organization
CALEXAR LLC
Active
Organization
CALEXAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADDRIANNE COOMBS (DIRECTOR OF BUSINESS DEVELOPMENT)
(571) 271-3250
Entity
Organization
Contact information
Practice address
1509 BARKSDALE DR NE, LEESBURG, VA 20176-6606
(571) 271-3250
Mailing address
1509 BARKSDALE DR NE, LEESBURG, VA 20176-6606
(571) 271-3250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0024164470
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024164470
VA
Other
Enumeration date
10/13/2017
Last updated
11/03/2017
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