| Transitions...the Process Of Change | |
|
8280 Willow Oaks Corporate Dr Suite 600 Fairfax VA 22031-4518 | |
| (703) 862-3762 | |
| Not Available |
| Full Name | Transitions...the Process Of Change |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8280 Willow Oaks Corporate Dr, Fairfax, Virginia |
| Authorized Official Name and Position | Racquel Semeraro (OWNER) |
| Authorized Official Contact | 7038623762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transitions...the Process Of Change 14001c Saint Germain Dr # 230 #230 Centreville VA 20121-2338 Ph: () - | Transitions...the Process Of Change 8280 Willow Oaks Corporate Dr Suite 600 Fairfax VA 22031-4518 Ph: (703) 862-3762 |
| NPI Number | 1669852026 |
|---|---|
| Provider Enumeration Date | 06/01/2015 |
| Last Update Date | 06/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669852026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0710101724 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904008497 (Virginia) | Primary |
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