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Organization
PHOENIX COUNSELINGGROUP AND PLAY THERAPYCENTER, PLLC
Active
Organization
PHOENIX COUNSELINGGROUP AND PLAY THERAPYCENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS ROBERT MCCRACKEN LPC (CEO)
(571) 237-4556
Entity
Organization
Contact information
Practice address
7051 HEATHCOTE VILLAGE WAY STE 125, GAINESVILLE, VA 20155-3198
(571) 237-4556
(833) 702-9006
Mailing address
7051 HEATHCOTE VILLAGE WAY STE 125, GAINESVILLE, VA 20155-3198
(571) 237-4556
(833) 702-9006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004422
VA
Other
Enumeration date
06/02/2016
Last updated
07/08/2024
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