Individual
ANA BETHENCOURT YRAUSQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 E BROAD ST, FALLS CHURCH, VA 22046-4529
(703) 534-5100
Mailing address
6702 JEFFERSON AVE, FALLS CHURCH, VA 22042-2104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N
N
—
Enumeration date
10/07/2021
Last updated
10/07/2021
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