Individual provider · Type 1 NPI

Tae Ju Oh

Mental Health Counselor · Fairfax, VA

NPI number 1326712340 Active

Practice location

10560 Main St Ste 508
Fairfax, VA 22030-7173

Call (703) 277-9515 Map

Mailing address

4385 Patriot Park Ct
Fairfax, VA 22030-4333

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XLGP11527 (MD)
Mental Health Counselor 101YM0800X0733001708 (VA)
Mental Health Counselor Primary 101YM0800X0732001946 (VA)

Mental Health Counselor: Definition to come...

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About NPI 1326712340

Tae Ju Oh's National Provider Identifier is 1326712340, issued on Aug 3, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairfax, VA. The record was last updated on Aug 3, 2021.