Organization
OLD TOWN PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA MADSEN FISHBACK LCSW (PSYCHOTHERAPIST)
(831) 236-5801
Entity
Organization
Contact information
Practice address
218 N LEE ST STE 201, ALEXANDRIA, VA 22314-2631
(831) 236-5801
(703) 842-8135
Mailing address
218 N LEE ST STE 201, ALEXANDRIA, VA 22314-2631
(831) 236-5801
(703) 842-8135
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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