Organization
FAIRFAX CHILD AND FAMILY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEE YOUNG SUK (COUNSELOR)
(202) 810-2174
Entity
Organization
Contact information
Practice address
7019 EVERGREEN CT # 6B, ANNANDALE, VA 22003
(202) 810-2174
Mailing address
7019 EVERGREEN CT # 6B, ANNANDALE, VA 22003-3227
(202) 810-2174
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
09/28/2022
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