Individual
MADIHA KHURSHID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10755 AMBASSADOR DR STE 201, MANASSAS, VA 20109-2527
(617) 379-0496
Mailing address
13351 CROWNING PL, BRISTOW, VA 20136-1790
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701012768
VA
101YM0800X
Mental Health Counselor
0704013638
VA
Other
Enumeration date
12/15/2020
Last updated
08/21/2023
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