Brian D Anderson
Individual provider Active NPI Professional Counselor · Fairfax, VA
NPI 1073051629 · NPPES record last updated Feb 3, 2017
Key facts
- NPI
- 1073051629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701006894 (VA)
- Practice address
- 8221 Willow Oaks Corporate Dr
Suite 4-420
Fairfax, VA 22031-4512 - Phone
- (703) 289-7560
- Fax
- (703) 204-9001
- NPI assigned
- Feb 3, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701006894 | VA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701006894 | VA | Yes |
Addresses
Primary practice location
8221 Willow Oaks Corporate Dr
Suite 4-420
Fairfax, VA 22031-4512
Mailing address
8221 Willow Oaks Corporate Dr
Suite 4-420
Fairfax, VA 22031-4512
Phone (703) 289-7560
Other providers in Fairfax, VA
- Patricia Joiner Anastasia
- Judith Andai
- Paul Franklin Anders III
- Glenna R Andersen
- Taylor Nicole Andersen
- Danielle Elizabeth Anderson
- Darla A. Anderson
- Elizabeth Danielle Anderson
- Erika Anderson
- Lauren Anderson
All providers in Fairfax, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.