Individual provider · Type 1 NPI

Ingrid P. Basurto

Mental Health Counselor · Fairfax, VA

NPI number 1306665310 Active

Practice location

3919 Blenheim Blvd Ste 83B
Fairfax, VA 22030-2430

Call (571) 559-2181 Map

Fax (571) 621-5708

Mailing address

1922 S Walter Reed Dr
Arlington, VA 22204-5113

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0704016140 (VA)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1306665310

Ingrid P. Basurto's National Provider Identifier is 1306665310, issued on Oct 7, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairfax, VA. The record was last updated on Oct 7, 2024.