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Individual

MR. MICHAEL JOSEPH VAZZANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
222 CATOCTIN CIR SE STE 203, LEESBURG, VA 20175-3730
(703) 249-9883
Mailing address
222 CATOCTIN CIR SE STE 203, LEESBURG, VA 20175-3730
(703) 362-7311

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
0701004508
VA
101YP1600X
Pastoral Counselor

Other

Enumeration date
08/30/2006
Last updated
12/13/2023
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