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Individual

ALEJANDRO H PEZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, QMHP-A

Contact information

Practice address
102 HERITAGE WAY NE STE 302, LEESBURG, VA 20176-4544
(703) 771-5100
(703) 777-0170
Mailing address
102 HERITAGE WAY NE STE 302, LEESBURG, VA 20176-4544
(703) 771-5100
(703) 777-0170

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
0701013904
VA
1041C0700X
Clinical Social Worker
171M00000X
Case Manager/Care Coordinator
251B00000X
Case Management Agency

Other

Enumeration date
08/08/2023
Last updated
08/22/2024
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