Provider Demographics
NPI:1811225089
Name:TRUXELL, JAMES M (MDIV)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:M
Last Name:TRUXELL
Suffix:
Gender:M
Credentials:MDIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4094 MAJESTIC LN
Mailing Address - Street 2:#237
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-2104
Mailing Address - Country:US
Mailing Address - Phone:703-449-1944
Mailing Address - Fax:
Practice Address - Street 1:4025 KINGS WAY
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-3200
Practice Address - Country:US
Practice Address - Phone:703-449-1944
Practice Address - Fax:703-378-9369
Is Sole Proprietor?:No
Enumeration Date:2009-11-30
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral