| Mike Vazzana Lpc Llc | |
|
222 Catoctin Cir Se Ste 203 Leesburg VA 20175-3730 | |
| (703) 249-9883 | |
| Not Available |
| Full Name | Mike Vazzana Lpc Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 222 Catoctin Cir Se Ste 203, Leesburg, Virginia |
| Authorized Official Name and Position | Michael Joseph Vazzana (OWNER) |
| Authorized Official Contact | 7032499883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mike Vazzana Lpc Llc 222 Catoctin Cir Se Ste 203 Leesburg VA 20175-3730 Ph: (703) 249-9883 | Mike Vazzana Lpc Llc 222 Catoctin Cir Se Ste 203 Leesburg VA 20175-3730 Ph: (703) 249-9883 |
| NPI Number | 1225824964 |
|---|---|
| Provider Enumeration Date | 04/18/2025 |
| Last Update Date | 04/18/2025 |
| Certification Date | 04/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225824964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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