Search › Virginia › 1041C0700X
Makoto Tanaka, LCSW
NPI 1073706727 · on the registry since 2007
Practice
- Address
- 6901 S Van Dorn St
Alexandria, VA 22315 - Phone
- (703) 313-6323
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 390200000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia