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Organization

CALEXAR LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADDRIANNE COOMBS (DIRECTOR OF BUSINESS DEVELOPMENT)
(571) 271-3250
Entity
Organization

Contact information

Practice address
1509 BARKSDALE DR NE, LEESBURG, VA 20176-6606
(571) 271-3250
Mailing address
1509 BARKSDALE DR NE, LEESBURG, VA 20176-6606
(571) 271-3250

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0024164470
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024164470
VA

Other

Enumeration date
10/13/2017
Last updated
11/03/2017
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