Individual provider · Type 1 NPI

Jason Dat Nguyen

Mental Health Counselor · Fairfax, VA

NPI number 1407645633 Active

Practice location

10379B Democracy Ln
Fairfax, VA 22030-2505

Call (571) 530-9538 Map

Mailing address

5025 Cliffhaven Dr
Annandale, VA 22003-4346

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0704019202 (VA)

Mental Health Counselor: Definition to come...

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About NPI 1407645633

Jason Dat Nguyen's National Provider Identifier is 1407645633, issued on May 5, 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 Jun 23, 2026.