Organization
GROUP THERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER BOYKIN LMFT (LMFT/CO-OWNER)
(571) 235-0714
Entity
Organization
Contact information
Practice address
15175 WASHINGTON ST, SUITE 302A, HAYMARKET, VA 20169-2951
(703) 644-8041
(703) 644-8041
Mailing address
PO BOX 127, HAYMARKET, VA 20168-0127
(703) 644-8041
(703) 644-8041
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1104938612
VA
106H00000X
Marriage & Family Therapist
Primary
0717001145
VA
Other
Enumeration date
06/01/2009
Last updated
04/09/2010
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