Individual
WAKMAN SAMIM AMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 LUSTERLEAF CT APT 300, STAFFORD, VA 22554-8491
(571) 419-4976
Mailing address
2 LUSTERLEAF CT APT 300, STAFFORD, VA 22554-8491
(571) 419-4976
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
1041S0200X
School Social Worker
—
—
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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