Individual
MICHAEL AVERY RAZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4850 MARK CENTER DR, ALEXANDRIA, VA 22311-1882
(703) 746-3400
Mailing address
4850 MARK CENTER DR, ALEXANDRIA, VA 22311-1882
(703) 746-3400
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006124
VA
Other
Enumeration date
08/31/2010
Last updated
06/18/2024
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