Virginia Home Based Counseling | |
8140 Ashton Ave Suite 200 Manassas VA 20109-2894 | |
(703) 367-7800 | |
(703) 368-8454 |
Full Name | Virginia Home Based Counseling |
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Speciality | Counselor - Mental Health |
Location | 8140 Ashton Ave, Manassas, Virginia |
Authorized Official Name and Position | Henry Thomas Koch (PRESIDENT/DIRECTOR) |
Authorized Official Contact | 7037955918 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Virginia Home Based Counseling 8140 Ashton Ave Suite 200 Manassas VA 20109-2894 Ph: (703) 367-7800 | Virginia Home Based Counseling 8140 Ashton Ave Suite 200 Manassas VA 20109-2894 Ph: (703) 367-7800 |
NPI Number | 1124050513 |
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Provider Enumeration Date | 07/07/2006 |
Last Update Date | 11/14/2007 |
Identifier | Type | State | Issuer |
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1124050513 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 507 (Virginia) | Primary |
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