Organization
CENTER FOR PASTORAL COUNSELING OF VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY L MCMICHAEL LCSW (COUNCIL CHAIR)
(703) 903-9696
Entity
Organization
Contact information
Practice address
1716 CHAIN BRIDGE RD, MC LEAN, VA 22101-4322
(703) 903-9696
Mailing address
PO BOX QQ, MC LEAN, VA 22101-0700
(703) 903-9696
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
03/04/2018
Last updated
03/04/2018
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