Organization
ALEXANDRIA ADOLESCENT AND ADULT THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE MANUEL LCSW, CSOTP (PRESIDENT)
(518) 522-3628
Entity
Organization
Contact information
Practice address
228 S WASHINGTON ST, SUITE 330, ALEXANDRIA, VA 22314-5408
(518) 483-5002
(571) 312-9526
Mailing address
8424 WASHINGTON AVE, ALEXANDRIA, VA 22309-2319
(518) 522-3628
(571) 312-9526
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0904007238
VA
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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