Individual
ANALISSE REYES COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42501 MAGELLAN SQ, BRAMBLETON, VA 20148-5610
(301) 775-4483
Mailing address
42501 MAGELLAN SQ, BRAMBLETON, VA 20148-5610
(301) 775-4483
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009685
VA
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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