Individual
JIMMY NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
3915 BLENHEIM BLVD STE 23A, FAIRFAX, VA 22030-2432
(202) 570-4965
Mailing address
14070 BIG CREST LN APT 409, WOODBRIDGE, VA 22191-5535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704015878
VA
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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