Organization
COUNSELING BY THE CREEK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN SUSIE BOOKFOR LCSW (SOLE PROPRIETOR)
(703) 750-0258
Entity
Organization
Contact information
Practice address
5016 RIDGEWOOD RD, ALEXANDRIA, VA 22312-2221
(703) 750-0258
(815) 550-1718
Mailing address
5016 RIDGEWOOD RD, ALEXANDRIA, VA 22312-2221
(703) 750-0258
(815) 550-1718
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009103
VA
Other
Enumeration date
12/09/2016
Last updated
12/09/2016
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