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Organization
PIMMIT COUNSELING & WELLNESS CLINIC PLLC
Active
Organization
PIMMIT COUNSELING & WELLNESS CLINIC PLLC
Active
Other names
Pimmit Counseling & Wellness Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAHRZAD POORSHAGHAGHI ED.D, LPC, NCC (OWNER)
(703) 556-4888
Entity
Organization
Contact information
Practice address
2235 CEDAR LN STE 102, VIENNA, VA 22182-5247
(703) 556-4888
(703) 556-7774
Mailing address
2235 CEDAR LN STE 102, VIENNA, VA 22182-5247
(703) 556-4888
(703) 556-7774
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002934
VA
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005411165
—
VA
Enumeration date
09/16/2006
Last updated
10/18/2022
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