Janet Boateng

Individual provider Active NPI Marriage & Family Therapist · Fairfax, VA

NPI 1245009661 · NPPES record last updated Dec 27, 2023

Key facts

NPI
1245009661
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
Practice address
3915 Blenheim Blvd Ste 23a
Fairfax, VA 22030-2432
Phone
(703) 259-5617
NPI assigned
Dec 27, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Yes

Addresses

Primary practice location

3915 Blenheim Blvd Ste 23a
Fairfax, VA 22030-2432

Mailing address

3193 Antrim Cir
Dumfries, VA 22026-3327

Other providers in Fairfax, VA

All providers in Fairfax, VA · Marriage & Family Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.