| Fairfax Place Therapy | |
|
9675 Main St Ste B Fairfax VA 22031-3762 | |
| (301) 337-7366 | |
| Not Available |
| Full Name | Fairfax Place Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9675 Main St Ste B, Fairfax, Virginia |
| Authorized Official Name and Position | Rachel Rosenberg (MEMBER) |
| Authorized Official Contact | 3013377366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfax Place Therapy 9675 Main St Ste B Fairfax VA 22031-3762 Ph: (301) 337-7366 | Fairfax Place Therapy 9675 Main St Ste B Fairfax VA 22031-3762 Ph: (301) 337-7366 |
| NPI Number | 1205566072 |
|---|---|
| Provider Enumeration Date | 06/14/2022 |
| Last Update Date | 06/14/2022 |
| Certification Date | 06/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205566072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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