Organization
INTEGRATIVE PSYCHOTHERAPY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN BEAREGARD PHD (DIRECTOR)
(703) 244-6298
Entity
Organization
Contact information
Practice address
3615 CHAIN BRIDGE RD STE I, FAIRFAX, VA 22030-3237
(703) 385-9667
Mailing address
3615 CHAIN BRIDGE RD STE I, FAIRFAX, VA 22030-3237
(703) 385-9667
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LGPC00042
DC
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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