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Individual

RAHMELL DASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
14000 CROWN CT, WOODBRIDGE, VA 22193-1460
(917) 670-2651
Mailing address
12566 SUMMIT MANOR DR, SUITE 222, FAIRFAX, VA 22033-5704
(917) 670-2651

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2387
VA
Enumeration date
08/05/2014
Last updated
08/05/2014
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