| Victoria J. Otchere Llc | |
|
5444 Tree Line Dr Centreville VA 20120-1650 | |
| (703) 622-1812 | |
| Not Available |
| Full Name | Victoria J. Otchere Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5444 Tree Line Dr, Centreville, Virginia |
| Authorized Official Name and Position | Victoria J Otchere (OWNER/CLINICIAN) |
| Authorized Official Contact | 7036221812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria J. Otchere Llc 5444 Tree Line Dr Centreville VA 20120-1650 Ph: (703) 622-1812 | Victoria J. Otchere Llc 5444 Tree Line Dr Centreville VA 20120-1650 Ph: (703) 622-1812 |
| NPI Number | 1942967781 |
|---|---|
| Provider Enumeration Date | 11/29/2021 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942967781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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