Individual
AZIM ROLAND ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2605 BEACON HILL RD, ALEXANDRIA, VA 22306-1611
(571) 459-9092
Mailing address
2605 BEACON HILL RD, ALEXANDRIA, VA 22306-1611
(571) 459-9092
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701011405
VA
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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