Individual
ADRIENNE TERESE IANNAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3950 CHAINBRIDGE RD, STE 4, FAIRFAX, VA 22203
(571) 492-4351
Mailing address
3804 WILSON BLVD # 1138, ARLINGTON, VA 22203-1920
(571) 492-4351
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701009492
VA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/09/2020
Last updated
09/21/2023
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