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Organization
POTOMAC CENTER INC
Active
Organization
POTOMAC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATHALIE GALLET (VP)
(705) 379-7350
Entity
Organization
Contact information
Practice address
5500 HOLMES RUN PKWY, STE C4, ALEXANDRIA, VA 22304-2863
(703) 379-7350
(703) 379-7352
Mailing address
5500 HOLMES RUN PKWY, SUITE C4, ALEXANDRIA, VA 22304-2863
(703) 379-7350
(703) 379-7352
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/16/2007
Last updated
09/14/2016
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