Healthcare Provider Details

I. General information

NPI: 1487574117
Provider Name (Legal Business Name): VALERIE TUNDE JONAH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

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

5290 SHAWNEE RD STE 209
ALEXANDRIA VA
22312-2377
US

IV. Provider business mailing address

5290 SHAWNEE RD STE 209
ALEXANDRIA VA
22312-2377
US

V. Phone/Fax

Practice location:
  • Phone: 703-863-4063
  • Fax: 703-991-8557
Mailing address:
  • Phone: 703-863-4063
  • Fax: 703-991-8557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: