Moussa, Mary

Moussa, Mary is an sole proprietor health care provider with primary practice located at 10560 Main St Ste 415 , Fairfax VA 22030-7174. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Moussa, Mary can be contacted via phone (571) 318-6710.

Contact Information

Primary practice address
10560 Main St Ste 415 Fairfax VA 22030-7174
Phone: (571) 318-6710
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710103429 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701009845 Virginia

Profile Details

NPI number 1205456126
LBN Legal business name Moussa, Mary
Credentials LPC, CSAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2020
Last updated Sep 20th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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