| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 11/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124050513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 507 (Virginia) | Primary |
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