Individual
MR. SHAWN LEVINE WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, NCACII, CSAC,
Contact information
Practice address
211 GIBSON ST NW STE 123, LEESBURG, VA 20176-2115
(571) 561-3040
Mailing address
211 GIBSON ST NW STE 123, LEESBURG, VA 20176-2115
(571) 561-3040
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710103072
VA
324500000X
Substance Abuse Rehabilitation Facility
0710103072
VA
Other
Enumeration date
01/27/2025
Last updated
02/03/2025
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