| Center For Counseling, Consultation & Ed | |
|
12050 S Lakes Dr Reston VA 20191-1220 | |
| (703) 742-6770 | |
| (703) 478-0318 |
| Full Name | Center For Counseling, Consultation & Ed |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12050 S Lakes Dr, Reston, Virginia |
| Authorized Official Name and Position | Joan F Houghton (DIRECTOR) |
| Authorized Official Contact | 7037426770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Counseling, Consultation & Ed 12050 S Lakes Dr Reston VA 20191-1220 Ph: (703) 742-6770 | Center For Counseling, Consultation & Ed 12050 S Lakes Dr Reston VA 20191-1220 Ph: (703) 742-6770 |
| NPI Number | 1679728414 |
|---|---|
| Provider Enumeration Date | 11/20/2008 |
| Last Update Date | 11/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679728414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0701-001329 (Virginia) | Primary |
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