Organization
COASTAL COLLABORATIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELLE KATZ LCSW (FOUNDER)
(571) 249-5332
Entity
Organization
Contact information
Practice address
2121 EISENHOWER AVE STE 200, ALEXANDRIA, VA 22314-4688
(571) 249-5332
Mailing address
2121 EISENHOWER AVE STE 200, ALEXANDRIA, VA 22314-4688
(571) 249-5332
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/12/2021
Last updated
11/24/2021
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