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Organization

JIRAH CORPORATION

Active
Other names
Ellie Mental Health
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN SARNO (PRESIDENT)
(910) 526-1056
Entity
Organization

Contact information

Practice address
10301 DEMOCRACY LN STE 301302, FAIRFAX, VA 22030-2545
(571) 223-7588
Mailing address
6303 BARSKY CT, FAIRFAX STATION, VA 22039-1642
(910) 526-1056

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
10/25/2022
Last updated
10/25/2022
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