Healthcare Provider Details

I. General information

NPI: 1376482075
Provider Name (Legal Business Name): KALTUM COUNSELING & RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/28/2026
Certification Date: 03/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4405 DIXIE HILL RD APT 209
FAIRFAX VA
22030-9065
US

IV. Provider business mailing address

4405 DIXIE HILL RD APT 209
FAIRFAX VA
22030-9065
US

V. Phone/Fax

Practice location:
  • Phone: 703-231-7727
  • Fax:
Mailing address:
  • Phone: 703-231-7727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. RAMLA ABDULLAHI ADEN
Title or Position: OWNER/FOUNDER
Credential: MS, LPC
Phone: 703-231-7727