Healthcare Provider Details

I. General information

NPI: 1629998372
Provider Name (Legal Business Name): VICTORIA HAO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5480 WISCONSIN AVE STE 222
CHEVY CHASE MD
20815-3568
US

IV. Provider business mailing address

5480 WISCONSIN AVE STE 222
CHEVY CHASE MD
20815-3568
US

V. Phone/Fax

Practice location:
  • Phone: 301-204-6457
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC18126
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: