Organization
THE CENTER FOR CONNECTION, HEALING & CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAYNE SMITH LMFT (FOUNDER)
(571) 408-1161
Entity
Organization
Contact information
Practice address
12751 MARBLESTONE DR, SUITE 200, WOODBRIDGE, VA 22192-8335
(703) 878-3291
Mailing address
12751 MARBLESTONE DR, SUITE 200, WOODBRIDGE, VA 22192-8335
(703) 878-3291
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT000175
DC
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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