person
Roger Biraben X, PHD
Professional Counselor in Leesburg, Virginia
NPI 1710075007

Roger Biraben X is a Professional Counselor based in Leesburg, VA and is specialized in Professional. Roger Biraben X practices in Leesburg, VA and has the professional credentials of PHD. The NPI Number for Roger Biraben X is 1710075007 and holds a License No. 0701001271 (Virginia).

The current practice location address for Roger Biraben X is 102 Heritage Way Ne Ste 302, Leesburg, VA and can be reached out via phone at 703-771-5100.

Location: 102 Heritage Way Ne Ste 302, Leesburg, VA, 20176
person
Provider Profile Details
NPI Number
1710075007
Provider Name
Roger Biraben X
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
102 Heritage Way Ne Ste 302, Leesburg, VA, 20176
Phone Number
703-771-5100
Fax Number
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
293817 01 VA AMERIGROUP
290251 01 VA ANTHEM
institution
Provider Business Practice Location Address Details
Address
102 Heritage Way Ne Ste 302
City
State
Zip
20176-4544
Phone Number
703-771-5100
Fax Number
person
Provider Business Mailing Address Details
Address
102 Heritage Way Ne Ste 302
City
State
Zip
20176-4544
Phone Number
703-771-5100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701001271 (Virginia)
Definition
Definition to come...
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