Individual
MINTESNOT FANTAYE ASFERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2347 W LONGVIEW DR, WOODBRIDGE, VA 22191-2637
(703) 725-1933
Mailing address
2347 W LONGVIEW DR, WOODBRIDGE, VA 22191-2637
(703) 725-1933
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
SC
Other
Enumeration date
06/24/2026
Last updated
06/24/2026
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