| Scott Koenigsberg, Lpc, Llc | |
|
8440 Old Keene Mill Rd Springfield VA 22152-2302 | |
| (703) 932-2417 | |
| (703) 569-1972 |
| Full Name | Scott Koenigsberg, Lpc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 8440 Old Keene Mill Rd, Springfield, Virginia |
| Authorized Official Name and Position | Scott Koenigsberg (OWNER) |
| Authorized Official Contact | 7039322417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Koenigsberg, Lpc, Llc 8440 Old Keene Mill Rd Springfield VA 22152-2302 Ph: (703) 932-2417 | Scott Koenigsberg, Lpc, Llc 8440 Old Keene Mill Rd Springfield VA 22152-2302 Ph: (703) 932-2417 |
| NPI Number | 1033649322 |
|---|---|
| Provider Enumeration Date | 06/19/2017 |
| Last Update Date | 05/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033649322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701003223 (Virginia) | Primary |
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