| Northern Virginia Family Service | |
|
10455 White Granite Dr Suite 100 Oakton VA 22124-2764 | |
| (703) 219-2128 | |
| Not Available |
| Full Name | Northern Virginia Family Service |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10455 White Granite Dr, Oakton, Virginia |
| Authorized Official Name and Position | Carol F. Baker (COUNSELOR) |
| Authorized Official Contact | 7032192128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Virginia Family Service 10455 White Granite Dr Suite 100 Oakton VA 22124-2764 Ph: (703) 219-2128 | Northern Virginia Family Service 10455 White Granite Dr Suite 100 Oakton VA 22124-2764 Ph: (703) 219-2128 |
| NPI Number | 1902924061 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902924061 | NPI | - | NPPES |
| 622818 | Other | VA | NATIONAL CAPITAL PPO |
| 100071497001 | Other | VA | APS |
| 246351 | Other | VA | KAISER |
| 7096491 | Other | VA | AETNA |
| 465746 | Other | VA | ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 09400532 (Virginia) | Primary |
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