Individual
EDWARD LEE HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT, LSATP
Contact information
Practice address
5249 DUKE ST, SUITE 200, ALEXANDRIA, VA 22304-2926
(703) 823-3972
Mailing address
1109 N HOWARD ST, ALEXANDRIA, VA 22304-1627
(703) 823-9617
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000093
VA
101YM0800X
Mental Health Counselor
Primary
0717000337
VA
Other
Enumeration date
12/26/2006
Last updated
09/11/2025
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