Organization
THE CENTER FOR SELF-DEVELOPMENT, LLC
Active
Parent organization
THE CENTER FOR SELF-DEVELOPMENT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CENTER FOR SELF-DEVELOPMENT, LLC
Authorized official
JILL ANN HAGEN, LPC LPC (THERAPIST)
(703) 433-1553
Entity
Organization
Contact information
Practice address
2 PIDGEON HILL DR, SUITE 450, STERLING, VA 20165-6145
(703) 433-1553
(703) 433-1558
Mailing address
2 PIDGEON HILL DR, SUITE 450, STERLING, VA 20165-6145
(703) 433-1553
(703) 433-1558
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0701004125
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4945247
—
VA
Enumeration date
12/03/2015
Last updated
12/03/2015
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