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NPI Code Detail

MEDICARE: VALIA SHOJA RESIDENT LPC

MEDICARE: VALIA SHOJA RESIDENT LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1417601758
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALIA SHOJA RESIDENT LPC
Provider Business Mailing Address
First Line : 1364 BEVERLY RD STE 303
Second Line :
City : MC LEAN
State : VA
Zip : 22101-3644
Country : US
Telephone Number : 571-281-5151
Fax Number :
Provider Business Practice Location Address
First Line : 1364 BEVERLY RD STE 303
Second Line :
City : MC LEAN
State : VA
Zip : 22101-3644
Country : US
Telephone Number : 571-281-5151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2022
Last Update Date : 02/06/2022

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Directions to “ VALIA SHOJA RESIDENT LPC” Practice Location

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