Individual
SHIRIN MAVANEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
8133 LEESBURG PIKE STE 130, TYSONS, VA 22182-2706
(703) 682-0163
Mailing address
8133 LEESBURG PIKE STE 130, TYSONS, VA 22182-2706
(703) 682-0163
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
05/03/2024
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