Individual provider · Type 1 NPI
Maya Martinova Radoslavova
Mental Health Counselor · Fairfax, VA
NPI number
1871357079
Active
Practice location
Ellie Mental Health, 10301 Democracy Lane, Suite 302
Fairfax, VA 22030
Mailing address
4600 S Four Mile Run Dr Apt 739
Arlington, VA 22204-3564
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 0704016703 (VA) |
Mental Health Counselor: Definition to come...
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About NPI 1871357079
Maya Martinova Radoslavova's National Provider Identifier is 1871357079, issued on Feb 8, 2024. 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 8, 2024.