Individual
MS. AZADEH AMIRSADRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LMFT
Contact information
Practice address
8626 LEE HIGHWAY, FAIRFAX, VA 22031
(703) 205-0491
Mailing address
6615 STONEPATH CIRCLE, CENTREVILLE, VA 20120
(703) 502-4976
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/08/2010
Last updated
07/06/2011
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