Provider Information for 1629323100
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SHARNECE AYANA THOMAS NCC, LMHC, LPC
Sex: Female
NPI: 1629323100
Last Updated: 2021-11-27
Certification Date: 2021-11-27
Certification Date: 2021-11-27
Details
Name | Value | ||||||||||||||||||||
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NPI | 1629323100 | ||||||||||||||||||||
Enumeration Date | 2012-07-19 | ||||||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||||||
Sole Proprietor | NO | ||||||||||||||||||||
Status | Active | ||||||||||||||||||||
Mailing Address | 3975 UNIVERSITY DR STE 210 FAIRFAX, VA 22030-2534 United States Phone: 703-401-8717 | Fax: | ||||||||||||||||||||
Primary Practice Address | 3975 UNIVERSITY DR STE 210 FAIRFAX, VA 22030-2534 United States Phone: 703-267-5704 | Fax: | ||||||||||||||||||||
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