Organization · Type 2 NPI
Derosa Wellness Innovation, LLC
Professional Counselor · Reston, VA
NPI number
1124716519
Active
Practice location
11921 Freedom Dr Ste 550
Reston, VA 20190-5635
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1124716519
Derosa Wellness Innovation, LLC's National Provider Identifier is 1124716519, issued on Apr 25, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Reston, VA. The record was last updated on Apr 26, 2023.