| Old Town Psychotherapy | |
|
218 N Lee St Ste 201 Alexandria VA 22314-2631 | |
| (831) 236-5801 | |
| (703) 842-8135 |
| Full Name | Old Town Psychotherapy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 218 N Lee St Ste 201, Alexandria, Virginia |
| Authorized Official Name and Position | Christina Madsen Fishback (PSYCHOTHERAPIST) |
| Authorized Official Contact | 8312365801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Town Psychotherapy 218 N Lee St Ste 201 Alexandria VA 22314-2631 Ph: (831) 236-5801 | Old Town Psychotherapy 218 N Lee St Ste 201 Alexandria VA 22314-2631 Ph: (831) 236-5801 |
| NPI Number | 1043898935 |
|---|---|
| Provider Enumeration Date | 03/31/2021 |
| Last Update Date | 03/31/2021 |
| Certification Date | 03/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043898935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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