Individual
DR. RANDALL LEAVITT PRIOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.MIN
Contact information
Practice address
10723 MAIN ST, FAIRFAX PRESBYTERIAN CHURCH, FAIRFAX, VA 22030-6905
(703) 270-5300
Mailing address
PO BOX QQ, CENTER FOR PASTORAL COUNSELING OF VIRGINIA, MC LEAN, VA 22101-0700
(703) 903-9696
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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