CHELA CLARK


Address: 8221 Willow Oaks Corporate Dr Ste 1, Fairfax, VA 22031-4512
Phone: 7033838447

CHELA CLARK (NPI# 1710451505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710451505
Entity Type Individual
Full Name CHELA CLARK
Credential LPC
Practice Address 8221 Willow Oaks Corporate Dr Ste 1
Fairfax
VA 22031-4512
Mailing Address 15583 Traverser Ct
Woodbridge
VA 22193-1010
Practice Telephone 7033838447
Enumeration Date 2019-01-15
Last Update Date 2019-01-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
0701007920 VA Behavioral Health & Social Service Providers

Office Location

Street Address 8221 WILLOW OAKS CORPORATE DR STE 1
City FAIRFAX
State VA
Zip Code 22031-4512

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902414105 Su Jung Kang Dentist 9661-c Main Street, Fairfax, VA 22031 2020-07-14
1346896347 Fuling Guo Acupuncturist 3013 James St, Fairfax, VA 22031 2019-08-15
1902458797 Kayla Callister Psychologist 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 2019-07-11
1790349801 Fairfax Dental Esthetics Dentist 9621 Fairfax Blvd., Fairfax, VA 22031 2019-04-24
1417427675 Kathryn Yen Ho Speech-Language Pathologist 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 2018-11-30
1932681376 Joanne Towers Physician Assistant 3025 Hamaker Court Suite 300, Fairfax, VA 22031 2018-09-01
1790262020 S Renee Dennis Nurse Practitioner 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 2018-07-19
1013493451 Elizabeth Joan Dwyer Physician Assistant 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 2018-07-18
1316432669 Delta Pharm LLC Pharmacy 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 2018-06-28
1629567656 Laura Breeden Acupuncturist 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 2018-05-04
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629689401 Ann Marie Miller Counselor 3600 Chain Bridge Rd Ste 200, Fairfax, VA 22030-3326 2020-08-13
1962046995 Rebekah Stone Counselor 8221 Willow Oaks Corporate Dr Ste 430, Fairfax, VA 22031-4512 2019-11-02
1972153831 Nichelle Arnette Staten Counselor 8221 Willow Oaks Corporate Dr # Ll-225, Fairfax, VA 22031-4512 2019-09-12
1386117026 Andrea Nunes-gardner Counselor 10560 Main St Ph 4, Fairfax, VA 22030-7182 2019-01-04
1164990974 Takhyun Cho Counselor 10560 Main St Ste 508, Fairfax, VA 22030-7173 2018-11-09
1457831364 Tara Danielle Soligan Counselor 4023 Chain Bridge Rd Ste 7, Fairfax, VA 22030-4121 2018-08-20
1043718091 Tatyana V Cottle Counselor 3509 Queen Anne Dr, Fairfax, VA 22030-1830 2018-01-24
1376050401 Alexander Harrison Counselor 4400 University Drive, Ms 2a2, Fairfax, VA 22030 2018-01-10
1396250882 Megan B Miller Counselor 8221 Willow Oaks Corporate Dr Ste 2east, Fairfax, VA 22031-4512 2017-12-06
1497269302 Face It Counseling Services, LLC Counselor 11325 Random Hills Rd Ste 360, Fairfax, VA 22030-0972 2017-11-30
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Competitor

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City FAIRFAX
Zip Code 22031

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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