Individual
MR. BABAK ALIDOOSTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
7230 HERITAGE VILLAGE PLZ, SUITE 202, GAINESVILLE, VA 20155-3053
(703) 754-0636
Mailing address
4614 HULL DR, HAYMARKET, VA 20169-8182
(301) 788-6277
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001365
VA
Other
Enumeration date
04/01/2017
Last updated
04/01/2017
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