Individual
FREDDY CHACON RUEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5319 LANGSTON BLVD, ARLINGTON, VA 22207-1607
(703) 261-9560
Mailing address
2200 N GEORGE MASON DR UNIT 7103, ARLINGTON, VA 22207-8006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704015627
VA
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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