| The Counseling Center Of Northern Virginia | |
|
131 Park St Ne Vienna VA 22180-4641 | |
| (703) 938-4703 | |
| (703) 938-4706 |
| Full Name | The Counseling Center Of Northern Virginia |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 131 Park St Ne, Vienna, Virginia |
| Authorized Official Name and Position | Lawrence Edward Kennedy (CHAIR OF BOARD OF TRUSTEES) |
| Authorized Official Contact | 7032816326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Counseling Center Of Northern Virginia 2367 Hunter Mill Rd Vienna VA 22181-3005 Ph: (703) 281-6326 | The Counseling Center Of Northern Virginia 131 Park St Ne Vienna VA 22180-4641 Ph: (703) 938-4703 |
| NPI Number | 1235390550 |
|---|---|
| Provider Enumeration Date | 06/19/2008 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235390550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 0717000281 (Virginia) | Primary |
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