Individual
MR. ANDREW HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MABC
Contact information
Practice address
10379B DEMOCRACY LN, FAIRFAX, VA 22030-2505
(571) 377-8406
Mailing address
9116 STEVEN IRVING CT, SPRINGFIELD, VA 22153-1424
(703) 674-8750
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704014287
VA
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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