NPI 1427231513 · live from the CMS NPI Registry
Stella Brizuela-Moreno, Ph.D.
Marriage & Family Therapist in Annandale, VA. National Provider Identifier 1427231513, active.
NPI record
| NPI | 1427231513 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 3340 Woodburn Rd, Annandale, VA 22003 |
| Practice phone | 703-207-7741 |
| Enumerated | December 11, 2007 |
| Last updated | December 11, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Addiction (Substance Use Disorder) | 103TA0400X | 0718000189 (VA) |
| Marriage & Family Therapist primary | 106H00000X | 0717000665 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.