| Diana O'brien, Lcsw. Med, Llc | |
|
5675 Stone Rd Ste 300 Centreville VA 20120-1667 | |
| (703) 930-5498 | |
| Not Available |
| Full Name | Diana O'brien, Lcsw. Med, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5675 Stone Rd Ste 300, Centreville, Virginia |
| Authorized Official Name and Position | Diana O'brien (SOCIAL WORKER) |
| Authorized Official Contact | 7039305498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diana O'brien, Lcsw. Med, Llc 5675 Stone Rd Ste 300 Centreville VA 20120-1667 Ph: (703) 930-5498 | Diana O'brien, Lcsw. Med, Llc 5675 Stone Rd Ste 300 Centreville VA 20120-1667 Ph: (703) 930-5498 |
| NPI Number | 1427591767 |
|---|---|
| Provider Enumeration Date | 11/18/2016 |
| Last Update Date | 11/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427591767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0904005203 (Virginia) | Primary |
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