Fairfax Therapy Solutions Llc | |
9675 Main St Ste C Fairfax VA 22031-3762 | |
(703) 899-8222 | |
Not Available |
Full Name | Fairfax Therapy Solutions Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 9675 Main St Ste C, Fairfax, Virginia |
Authorized Official Name and Position | Deborah M Finerty-obrien (OWNER) |
Authorized Official Contact | 7038998222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fairfax Therapy Solutions Llc 9675 Main St Ste C Fairfax VA 22031-3762 Ph: (703) 899-8222 | Fairfax Therapy Solutions Llc 9675 Main St Ste C Fairfax VA 22031-3762 Ph: (703) 899-8222 |
NPI Number | 1902448251 |
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Provider Enumeration Date | 10/08/2019 |
Last Update Date | 10/08/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902448251 | NPI | - | NPPES |
1689791857 | Medicaid | VA | |
1417425679 | Medicaid | VA | |
1043606312 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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