Individual
SHAHAAN TARA RAMAZANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, RPT, NCC
Contact information
Practice address
19420 GOLF VISTA PLZ STE 330, LANSDOWNE, VA 20176-8268
(571) 577-0099
Mailing address
19420 GOLF VISTA PLZ STE 330, LANSDOWNE, VA 20176-8268
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701011604
VA
Other
Enumeration date
08/18/2019
Last updated
07/14/2022
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