Fairfax Mental Health & Wellness

NPI #1699201749 in Fairfax, Virginia

Provider Information

NPI Number: 1699201749
Entity Type: Organization
Organization Name: Fairfax Mental Health & Wellness
Primary Specialty: Psychologist - Clinical
Enumeration Date: May 11, 2017
Last Updated: Feb 19, 2025

Practice Location

Address: 3554 CHAIN BRIDGE RD STE 200
City: Fairfax
State: Virginia
ZIP Code: 22030-2709
Phone: (703) 896-7628

Authorized Official

Name: MR. JON SHORE
Title: CEO
Phone: (732) 996-6164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Social Worker - Clinical — Clinical	1041C0700X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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