# THE COUNSELING CENTER OF NORTHERN VIRGINIA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235390550
- **Authorized official:** DR. LAWRENCE EDWARD KENNEDY JR. PH.D. (CHAIR OF BOARD OF TRUSTEES)
- **Authorized official phone:** (703) 281-6326

## Contact information

- **Practice address:** 131 PARK ST NE, VIENNA, VA 22180-4641
- **Practice address phone:** (703) 938-4703
- **Practice address fax:** (703) 938-4706
- **Mailing address:** 2367 HUNTER MILL RD, VIENNA, VA 22181-3005
- **Mailing address phone:** (703) 281-6326
- **Mailing address fax:** (703) 242-0331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 0717000281 | VA | Yes |

## Other

- **Enumeration date:** 06/19/2008
- **Last updated:** 06/19/2008