| Counseling By The Creek | |
|
5016 Ridgewood Rd Alexandria VA 22312-2221 | |
| (703) 750-0258 | |
| (815) 550-1718 |
| Full Name | Counseling By The Creek |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5016 Ridgewood Rd, Alexandria, Virginia |
| Authorized Official Name and Position | Susan Susie Bookfor (SOLE PROPRIETOR) |
| Authorized Official Contact | 7037500258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling By The Creek 5016 Ridgewood Rd Alexandria VA 22312-2221 Ph: (703) 750-0258 | Counseling By The Creek 5016 Ridgewood Rd Alexandria VA 22312-2221 Ph: (703) 750-0258 |
| NPI Number | 1164966115 |
|---|---|
| Provider Enumeration Date | 12/09/2016 |
| Last Update Date | 12/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164966115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904009103 (Virginia) | Primary |
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