Organization
COMMONWEALTH MENTAL HEALYH ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A RUTKOWSKI LCSW (PRESIDENT)
(703) 913-3503
Entity
Organization
Contact information
Practice address
8322 TRAFORD LN, D, SPRINGFIELD, VA 22152-1668
(703) 913-3503
(703) 913-1193
Mailing address
8322 TRAFORD LN # D, SPRINGFIELD, VA 22152-1668
(703) 913-3503
(703) 913-1193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
VA
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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