| Creative Self-development, Inc. | |
|
1909 N Ohio St Arlington VA 22205-2136 | |
| (703) 532-2731 | |
| Not Available |
| Full Name | Creative Self-development, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1909 N Ohio St, Arlington, Virginia |
| Authorized Official Name and Position | Lilli Marie Vincenz (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7035322731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Self-development, Inc. 1909 N Ohio St Arlington VA 22205-2136 Ph: (703) 532-2731 | Creative Self-development, Inc. 1909 N Ohio St Arlington VA 22205-2136 Ph: (703) 532-2731 |
| NPI Number | 1497941355 |
|---|---|
| Provider Enumeration Date | 09/24/2007 |
| Last Update Date | 09/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497941355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0701000871 (Virginia) | Primary |
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