# PASTORAL COUNSELING OF NORTHERN VIRGINIA

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

## Provider details

- **NPI number:** 1568790624
- **Authorized official:** DR. GARY L HULME (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (703) 449-1944

## Contact information

- **Practice address:** 1205 DOLLEY MADISON BLVD, MC LEAN, VA 22101-3019
- **Practice address phone:** (703) 449-1944
- **Practice address fax:** (703) 356-9119
- **Mailing address:** 4094 MAJESTIC LN, FAIRFAX, VA 22033-2104
- **Mailing address phone:** (703) 449-1944
- **Mailing address fax:** (703) 356-9119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 0717000185 | VA | Yes |

## Other

- **Enumeration date:** 12/01/2009
- **Last updated:** 12/01/2009