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Individual

EDUARDO FELIX PAEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, LSATP

Contact information

Practice address
8809 SUDLEY RD, SUITE 220, MANASSAS, VA 20110-4759
(703) 867-9640
Mailing address
8809 SUDLEY RD, SUITE 220, MANASSAS, VA 20110-4749
(703) 867-9640

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004624
VA
101YP2500X
Professional Counselor
0718000125
VA
101YP2500X
Professional Counselor
PRC1341
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010351367
VA
Enumeration date
10/10/2006
Last updated
10/26/2012
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