Atlantic Counseling Group

NPI #1578904702 in Ashburn, Virginia

Provider Information

NPI Number: 1578904702
Entity Type: Organization
Organization Name: Atlantic Counseling Group
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jul 16, 2013
Last Updated: Jun 4, 2019

Practice Location

Address: 20925 PROFESSIONAL PLZ STE 230
City: Ashburn
State: Virginia
ZIP Code: 20147-3403
Phone: (703) 665-0949

Authorized Official

Name: MR. MIKE VAZZANA, LPC
Title: PARTNER
Phone: (703) 665-0949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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