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Organization
OPEN BRIDGES COUNSELING, LLC
Active
Organization
OPEN BRIDGES COUNSELING, LLC
Active
Other names
Irene Ilachinski, LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRENE CAROL ILACHINSKI LCSW (OWNER/LICENSED CLINICAL SOCIAL WORK)
(703) 591-5912
Entity
Organization
Contact information
Practice address
10400 EATON PLACE, STE 200, FAIRFAX, VA 22030
(703) 591-5912
(703) 591-7210
Mailing address
10400 EATON PLACE, STE 200, FAIRFAX, VA 22030
(703) 591-5912
(703) 591-7210
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006259
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01013047083
—
VA
Enumeration date
02/07/2013
Last updated
01/24/2020
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