Doctor Name: | PAOLA A SANDOVAL-MOSHENBERG |
NPI Number: | 1639510480 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 0701005496 |
Business Practice Address: | 6400 Arlington Blvd Suite 110 Falls Church, VA - 220422325 |
Business Phone Number: | 5717482820 |
Business Fax Number: | 7032372083 |
Mailing Address: | 6400 Arlington Blvd, Suite 110 FALLS CHURCH |
State: | VA |
Postal Code: | 220422325 |
Phone Number: | 5717482820 |
Fax Number: | 7032372083 |
NPI Enumeration Date: | 07/09/2013 |
NPI Last Update Date: | 07/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0701005496 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |