| Centrepointe Counseling, Inc. | |
|
681 Elden St Herndon VA 20170-4722 | |
| (800) 491-5369 | |
| (301) 774-3678 |
| Full Name | Centrepointe Counseling, Inc. |
|---|---|
| Speciality | Counselor - Pastoral |
| Location | 681 Elden St, Herndon, Virginia |
| Authorized Official Name and Position | Matthew Raeder (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8004915369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centrepointe Counseling, Inc. Po Box 339 Ashton MD 20861-0339 Ph: (800) 491-5369 | Centrepointe Counseling, Inc. 681 Elden St Herndon VA 20170-4722 Ph: (800) 491-5369 |
| NPI Number | 1356883045 |
|---|---|
| Provider Enumeration Date | 11/10/2016 |
| Last Update Date | 02/23/2022 |
| Certification Date | 02/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356883045 | NPI | - | NPPES |
| 414259400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Primary |
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