IndividualActive
Addison Fay
NPI 1609479252 · Professional Counselor · Leesburg, VA
Provider details
- NPI number
- 1609479252
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
102 Heritage Way Ne Ste 302
Leesburg, VA 20176-4544
Phone: (703) 771-5100
Fax: (703) 777-0170
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7400
Leesburg, VA 20177-7400
Registry dates
- Enumerated
- 2020-11-17
- Last updated
- 2024-01-25
- Certified
- 2024-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.