Individual
MISS ETHELDREDA TSASHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP,RBT
Contact information
Practice address
7771 ASHTON AVE, MANASSAS, VA 20109-2879
(703) 493-2686
(866) 499-8840
Mailing address
6263 CLAY PIPE CT, CENTREVILLE, VA 20121-5619
(202) 403-1819
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
VA
103K00000X
Behavior Analyst
Primary
—
VA
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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