# LIVING FREE HEALTH SERVICES

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

## Provider details

- **NPI number:** 1376660233
- **Authorized official:** MS. MARIETTA WARDEN R.N., C.C.S.,C.A.C (PRESIDENT)
- **Authorized official phone:** (703) 750-1292

## Contact information

- **Practice address:** 4306 EVERGREEN LN STE 204, ANNANDALE, VA 22003-3217
- **Practice address phone:** (703) 750-1292
- **Practice address fax:** (703) 642-0859
- **Mailing address:** 4306 EVERGREEN LN STE 204, ANNANDALE, VA 22003-3217
- **Mailing address phone:** (703) 750-1292
- **Mailing address fax:** (703) 642-0859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 149 | VA | Yes |
| 101YM0800X | Mental Health Counselor | 149 | VA | — |

## Other

- **Enumeration date:** 03/24/2007
- **Last updated:** 08/01/2007