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Organization
WILLOW TREE COUNELING AND EDUATIONAL CENTER, LLC
Active
Organization
WILLOW TREE COUNELING AND EDUATIONAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA EVANS LPC (LICENSED PROFESIONAL COUNSELOR)
(703) 591-9600
Entity
Organization
Contact information
Practice address
10195 MAIN ST, SUITE N, FAIRFAX, VA 22031-3415
(703) 591-9600
(703) 591-9656
Mailing address
10195 MAIN ST, SUITE N, FAIRFAX, VA 22031-3415
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004932
VA
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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