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Organization
PRINCE WILLIAM FAMILY COUNSELING, P.C.
Active
Organization
PRINCE WILLIAM FAMILY COUNSELING, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY THOMAS KOCH III PH.D. (PRESIDENT/DIRECTOR)
(703) 795-5918
Entity
Organization
Contact information
Practice address
8140 ASHTON AVE, SUITE 200, MANASSAS, VA 20109-2894
(703) 330-9933
(703) 368-8454
Mailing address
8140 ASHTON AVE, SUITE 200, MANASSAS, VA 20109-2894
(703) 330-9933
(703) 368-8454
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
419
VA
Other
Enumeration date
07/07/2006
Last updated
11/14/2007
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