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Organization
LIVING FREE HEALTH SERVICES
Active
Organization
LIVING FREE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIETTA WARDEN R.N., C.C.S.,C.A.C (PRESIDENT)
(703) 750-1292
Entity
Organization
Contact information
Practice address
4306 EVERGREEN LN STE 204, ANNANDALE, VA 22003-3217
(703) 750-1292
(703) 642-0859
Mailing address
4306 EVERGREEN LN STE 204, ANNANDALE, VA 22003-3217
(703) 750-1292
(703) 642-0859
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
149
VA
101YM0800X
Mental Health Counselor
149
VA
Other
Enumeration date
03/24/2007
Last updated
08/01/2007
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