| Fairfax Integrative Therapy, Llc | |
|
10640 Page Ave Ste 210 Fairfax VA 22030-4000 | |
| (704) 614-2388 | |
| Not Available |
| Full Name | Fairfax Integrative Therapy, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 10640 Page Ave Ste 210, Fairfax, Virginia |
| Authorized Official Name and Position | Maureen Bethea (OWNER) |
| Authorized Official Contact | 7037440609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfax Integrative Therapy, Llc 10640 Page Ave Ste 210 Fairfax VA 22030-4000 Ph: (704) 614-2388 | Fairfax Integrative Therapy, Llc 10640 Page Ave Ste 210 Fairfax VA 22030-4000 Ph: (704) 614-2388 |
| NPI Number | 1689273740 |
|---|---|
| Provider Enumeration Date | 10/20/2020 |
| Last Update Date | 10/20/2020 |
| Certification Date | 10/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689273740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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