Individual
ZACHARY RYAN SHIFFLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5240 LYNGATE CT, BURKE, VA 22015-1631
(703) 249-9565
Mailing address
1771 T ST NW APT 3, WASHINGTON, DC 20009-7149
(703) 249-9565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701011829
VA
Other
Enumeration date
02/22/2022
Last updated
11/28/2022
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