Individual
ELIJAH JAMES DEBOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8221 WILLOW OAKS CORPORATE DR STE 420, FAIRFAX, VA 22031-4512
(703) 623-3529
Mailing address
8221 WILLOW OAKS CORPORATE DR STE 420, FAIRFAX, VA 22031-4512
(540) 958-9393
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701012658
VA
101YP2500X
Professional Counselor
Primary
0701012658
VA
Other
Enumeration date
09/07/2023
Last updated
07/16/2024
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