Individual provider · Type 1 NPI

James Rodney Trace, RN MSN

Mental Health Counselor · Annandale, VA

NPI number 1356987002 Active

Practice location

3300 Woodburn Rd
Annandale, VA 22003-1202

Mailing address

2750 Gallows Rd Apt 439
Vienna, VA 22180-7167

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0732007969 (VA)

Mental Health Counselor: Definition to come...

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About NPI 1356987002

James Rodney Trace, RN MSN's National Provider Identifier is 1356987002, issued on Nov 18, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Annandale, VA. The record was last updated on Nov 18, 2019.