Individual
JAMES RODNEY TRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN MSN
Contact information
Practice address
3300 WOODBURN RD, ANNANDALE, VA 22003-1202
(703) 205-9452
Mailing address
2750 GALLOWS RD APT 439, VIENNA, VA 22180-7167
(678) 923-1882
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0732007969
VA
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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