| Main Street Counseling Inc | |
|
10195 Main St Ste O Fairfax VA 22031-3415 | |
| (703) 591-9600 | |
| (703) 591-9656 |
| Full Name | Main Street Counseling Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10195 Main St Ste O, Fairfax, Virginia |
| Authorized Official Name and Position | Linda J Parkes (OWNER) |
| Authorized Official Contact | 7035919600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Counseling Inc 10195 Main St Ste O Fairfax VA 22031-3415 Ph: (703) 591-9600 | Main Street Counseling Inc 10195 Main St Ste O Fairfax VA 22031-3415 Ph: (703) 591-9600 |
| NPI Number | 1982468914 |
|---|---|
| Provider Enumeration Date | 02/09/2024 |
| Last Update Date | 07/09/2024 |
| Certification Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982468914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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