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Ms. Nancy Wachtenheim, LCSW
Specialist in Fairfax, Virginia
NPI 1649302142

Nancy Wachtenheim is a Specialist based in Fairfax, VA. Nancy Wachtenheim practices in Fairfax, VA and has the professional credentials of LCSW. The NPI Number for Nancy Wachtenheim is 1649302142 and holds a License No. 0904001780 (Virginia).

The current practice location address for Nancy Wachtenheim is 3923 Blenheim Blvd., Fairfax, VA and can be reached out via phone at 703-277-7668.

Location: 3923 Blenheim Blvd., Fairfax, VA, 22030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649302142
Provider Name
Nancy Wachtenheim
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
3923 Blenheim Blvd., Fairfax, VA, 22030
Phone Number
703-277-7668
Fax Number
Provider Enumeration Date
03/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
210562 01 ANTHEM
1352 01 BLUECROSSBLUESHIELD
institution
Provider Business Practice Location Address Details
Address
3923 Blenheim Blvd.
City
Fairfax
State
Virginia
Zip
22030
Phone Number
703-277-7668
Fax Number
person
Provider Business Mailing Address Details
Address
3923 Blenheim Blvd.
City
Fairfax
State
Virginia
Zip
22030
Phone Number
703-277-7668
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0904001780 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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