Individual
ANIS AFIGU SACCOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 151, DUMFRIES, VA 22026-0151
(571) 774-5083
Mailing address
134 CONNERY TER SW, LEESBURG, VA 20175-5060
(571) 274-3811
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0719000029
VA
101YP2500X
Professional Counselor
Primary
0704016158
VA
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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