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Organization
NORTHERN VIRGINIA FAMILY SERVICE
Active
Organization
NORTHERN VIRGINIA FAMILY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL F. BAKER L.C.S.W. (COUNSELOR)
(703) 219-2128
Entity
Organization
Contact information
Practice address
10455 WHITE GRANITE DR, SUITE 100, OAKTON, VA 22124-2764
(703) 219-2128
Mailing address
10455 WHITE GRANITE DR, SUITE 100, OAKTON, VA 22124-2764
(703) 219-2128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
09400532
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100071497001
APS
VA
01
—
246351
KAISER
VA
01
—
465746
ANTHEM BCBS
VA
01
—
622818
NATIONAL CAPITAL PPO
VA
01
—
7096491
AETNA
VA
Enumeration date
03/27/2007
Last updated
08/22/2020
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