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NPI Code Detail

MEDICARE: JANAE LEDFORD

MEDICARE: JANAE LEDFORD
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
1101YA0400XAddiction (Substance Use Disorder) Counselor0710103998VA

General Provider Information

NPI Number : 1558217836
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANAE LEDFORD
Provider Business Mailing Address
First Line : 1833 GRAND BAY DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23456-6384
Country : US
Telephone Number : 646-413-4415
Fax Number :
Provider Business Practice Location Address
First Line : 7010 BRADDOCK RD
Second Line :
City : ANNANDALE
State : VA
Zip : 22003-6006
Country : US
Telephone Number : 703-941-8810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ JANAE LEDFORD ” Practice Location

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