Individual provider · Type 1 NPI

Samuel Fastow

Mental Health Counselor · Stafford, VA

NPI number 1649028853 Active

Practice location

306 Garrisonville Rd Ste 201
Stafford, VA 22554-1575

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1649028853

Samuel Fastow's National Provider Identifier is 1649028853, issued on May 11, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stafford, VA. The record was last updated on May 11, 2024.