| Alexandria Art Therapy, Llc | |
|
1008 Pendleton St Ste 1a Alexandria VA 22314-2182 | |
| (703) 596-9557 | |
| Not Available |
| Full Name | Alexandria Art Therapy, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1008 Pendleton St Ste 1a, Alexandria, Virginia |
| Authorized Official Name and Position | Adele Stuckey (OWNER) |
| Authorized Official Contact | 7035969557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandria Art Therapy, Llc 1008 Pendleton St Ste 1a Alexandria VA 22314-2182 Ph: (703) 596-9557 | Alexandria Art Therapy, Llc 1008 Pendleton St Ste 1a Alexandria VA 22314-2182 Ph: (703) 596-9557 |
| NPI Number | 1689197790 |
|---|---|
| Provider Enumeration Date | 07/20/2017 |
| Last Update Date | 11/03/2020 |
| Certification Date | 11/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689197790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701007203 (Virginia) | Primary |
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