Coastal Collaborative Care Llc | |
2121 Eisenhower Ave Ste 200 Alexandria VA 22314-4688 | |
(571) 249-5332 | |
Not Available |
Full Name | Coastal Collaborative Care Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 2121 Eisenhower Ave Ste 200, Alexandria, Virginia |
Authorized Official Name and Position | Gabrielle Katz (FOUNDER) |
Authorized Official Contact | 5712495332 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Coastal Collaborative Care Llc 2121 Eisenhower Ave Ste 200 Alexandria VA 22314-4688 Ph: (571) 249-5332 | Coastal Collaborative Care Llc 2121 Eisenhower Ave Ste 200 Alexandria VA 22314-4688 Ph: (571) 249-5332 |
NPI Number | 1013506310 |
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Provider Enumeration Date | 01/12/2021 |
Last Update Date | 11/24/2021 |
Certification Date | 11/24/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013506310 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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