Organization
FULLY HUMAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH BENJAMIN SAMUEL FLEITMAN LPC (OWNER)
(434) 328-1044
Entity
Organization
Contact information
Practice address
1550 WILSON BLVD, STE 700 #226, ARLINGTON, VA 22209-2490
(703) 239-4424
(571) 933-4262
Mailing address
107 VINCENNES RD, CHARLOTTESVILLE, VA 22911-8551
(703) 239-4424
(571) 933-4262
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/15/2024
Last updated
04/18/2024
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