Provider Information for 1689214439
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Dr. CYNTHIA JOAN AGBAYANI LPC
Sex: Female
NPI: 1689214439
Last Updated: 2023-11-27
Certification Date: 2020-01-09
Certification Date: 2020-01-09
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1689214439 | ||||||||||||||
| Enumeration Date | 2020-01-09 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 4300A RIDGEWOOD CENTER DR WOODBRIDGE, VA 22192-5307 United States Phone: 703-580-7210 | Fax:703-580-7213 | ||||||||||||||
| Primary Practice Address | 4300A RIDGEWOOD CENTER DR WOODBRIDGE, VA 22192-5307 United States Phone: 703-580-7210 | Fax:703-580-7213 | ||||||||||||||
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