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Organization
THE COUNSELING CENTER OF NORTHERN VIRGINIA
Active
Organization
THE COUNSELING CENTER OF NORTHERN VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE EDWARD KENNEDY JR. PH.D. (CHAIR OF BOARD OF TRUSTEES)
(703) 281-6326
Entity
Organization
Contact information
Practice address
131 PARK ST NE, VIENNA, VA 22180-4641
(703) 938-4703
(703) 938-4706
Mailing address
2367 HUNTER MILL RD, VIENNA, VA 22181-3005
(703) 281-6326
(703) 242-0331
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717000281
VA
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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