Individual
JOSEPH CORAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10640 PAGE AVE STE 330, FAIRFAX, VA 22030-4012
(703) 989-8207
Mailing address
8521 MOUNT ZEPHYR DR, ALEXANDRIA, VA 22309-2308
(703) 989-8207
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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