Individual
ANDREY FADEYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
300 N WASHINGTON ST STE 607, ALEXANDRIA, VA 22314-2544
(202) 656-3481
Mailing address
13300 DIGGES TER, FORT WASHINGTON, MD 20744-6544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904009834
VA
Other
Enumeration date
06/13/2017
Last updated
01/04/2019
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