Organization
CATHOLIC CHARATIES DIOCESE OF ARLINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHAN LUTERAN LCSW (EXECUTIVE DIRECTOR)
(703) 841-3835
Entity
Organization
Contact information
Practice address
305 HANSON AVE, SUITE 180, FREDERICKSBURG, VA 22401
(540) 371-1124
(540) 371-9038
Mailing address
305 HANSON AVE, SUITE 180, FREDERICKSBURG, VA 22401
(540) 371-1124
(540) 371-9038
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPI 1598723159
ROSEMARIE GORTLER LPC
—
01
—
NPI 1639137243
CAROLYNNE B CROLL LCSW
—
Enumeration date
11/21/2006
Last updated
08/22/2020
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