Organization
THE COUNSELING CENTER OF NORTHERN VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE EDWARD KENNEDY JR. PH.D. (CHAIR OF BOARD OF TRUSTEES)
(703) 281-6326
Entity
Organization
Contact information
Practice address
131 PARK ST NE, VIENNA, VA 22180-4641
(703) 938-4703
(703) 938-4706
Mailing address
2367 HUNTER MILL RD, VIENNA, VA 22181-3005
(703) 281-6326
(703) 242-0331
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717000281
VA
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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