| Prince Wiliam Family Counseling, Pc | |
|
9625 Surveyor Ct Suite 200 Manassas VA 20110-4422 | |
| (703) 330-9933 | |
| (703) 368-8454 |
| Full Name | Prince Wiliam Family Counseling, Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9625 Surveyor Ct, Manassas, Virginia |
| Authorized Official Name and Position | Henry Koch (DIRECTOR) |
| Authorized Official Contact | 7033309933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prince Wiliam Family Counseling, Pc 9625 Surveyor Ct Suite 200 Manassas VA 20110-4422 Ph: (703) 330-9933 | Prince Wiliam Family Counseling, Pc 9625 Surveyor Ct Suite 200 Manassas VA 20110-4422 Ph: (703) 330-9933 |
| NPI Number | 1326102799 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326102799 | NPI | - | NPPES |
| 5411637 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0904002397 (Virginia) | Primary |
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