Organization
AWARENESS LOUNGE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA CISNERO MS, LPC (COUNSELOR)
(703) 470-7081
Entity
Organization
Contact information
Practice address
9553 BALLAGAN CT, BRISTOW, VA 20136-2700
(703) 470-7081
Mailing address
9553 BALLAGAN CT, BRISTOW, VA 20136-2700
(703) 470-7081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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