| Integrated Counseling Services Llc | |
|
3206 Gunston Rd Alexandria VA 22302-2101 | |
| (571) 245-9342 | |
| Not Available |
| Full Name | Integrated Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 3206 Gunston Rd, Alexandria, Virginia |
| Authorized Official Name and Position | Douglas Leonard Rizzo (PRESIDENT) |
| Authorized Official Contact | 5712459342 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Counseling Services Llc 3206 Gunston Rd Alexandria VA 22302-2101 Ph: (571) 245-9342 | Integrated Counseling Services Llc 3206 Gunston Rd Alexandria VA 22302-2101 Ph: (571) 245-9342 |
| NPI Number | 1740032622 |
|---|---|
| Provider Enumeration Date | 04/03/2024 |
| Last Update Date | 05/25/2024 |
| Certification Date | 05/25/2024 |
| Medicare PECOS PAC ID | 4981146214 |
|---|---|
| Medicare Enrollment ID | O20240603000665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740032622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Douglas Leonard Rizzo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477671949 PECOS PAC ID: 5890237127 Enrollment ID: I20240603001270 |
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