Individual provider · Type 1 NPI

Addison S. Fay

Professional Counselor · Leesburg, VA

NPI number 1609479252 Active

Practice location

102 Heritage Way NE Ste 302
Leesburg, VA 20176-4544

Fax (703) 777-0170

Mailing address

PO Box 7400
Leesburg, VA 20177-7400

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed
Professional Counselor 101YP2500X0701012479 (VA)

Professional Counselor: Definition to come...

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About NPI 1609479252

Addison S. Fay's National Provider Identifier is 1609479252, issued on Nov 17, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Leesburg, VA. The record was last updated on Jan 25, 2024.