| Therapeutic Milestonez Llc | |
|
6600 Indian Trail Ct Alexandria VA 22310-2411 | |
| (804) 223-0802 | |
| Not Available |
| Full Name | Therapeutic Milestonez Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6600 Indian Trail Ct, Alexandria, Virginia |
| Authorized Official Name and Position | Jarrod Wallace (OWNER) |
| Authorized Official Contact | 8042230802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Milestonez Llc 6600 Indian Trail Ct Alexandria VA 22310-2411 Ph: () - | Therapeutic Milestonez Llc 6600 Indian Trail Ct Alexandria VA 22310-2411 Ph: (804) 223-0802 |
| NPI Number | 1477377802 |
|---|---|
| Provider Enumeration Date | 11/12/2024 |
| Last Update Date | 11/12/2024 |
| Certification Date | 11/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477377802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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