Individual
AMY WEIDINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 BEULAH RD NE, SUITE 201, VIENNA, VA 22180-4745
(571) 334-5290
Mailing address
120 BEULAH RD NE, SUITE 201, VIENNA, VA 22180-4745
(571) 334-5290
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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