Individual provider · Type 1 NPI

Jay Ivan Soto

Mental Health Counselor · Fairfax, VA

NPI number 1346047578 Active

Practice location

3911 Blenheim Blvd Ste 43B
Fairfax, VA 22030-2434

Call (813) 447-3632 Map

Mailing address

1600 Prince St Apt 604
Alexandria, VA 22314-2838

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1346047578

Jay Ivan Soto's National Provider Identifier is 1346047578, issued on Feb 26, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairfax, VA. The record was last updated on Feb 26, 2025.