Individual provider · Type 1 NPI

Peter Suppa

Mental Health Counselor · Woodbridge, VA

NPI number 1194554006 Active

Practice location

4001 Prince William Pkwy Ste 301
Woodbridge, VA 22192-7667

Call (703) 688-8541 Map

Mailing address

4307 32nd Rd S
Arlington, VA 22206-2000

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1194554006

Peter Suppa's National Provider Identifier is 1194554006, issued on Jul 29, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Woodbridge, VA. The record was last updated on Jul 29, 2024.