Individual
ANITA MADHAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3251 CREEK WOOD CT, FALLS CHURCH, VA 22042-3414
(571) 489-2174
Mailing address
3251 CREEK WOOD CT, FALLS CHURCH, VA 22042-3414
(571) 489-2174
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0704017962
VA
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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