Organization
GREATER WASHINGTON COUNSELING AND MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL C LIEBERMAN LPC (OWNER)
(301) 213-6637
Entity
Organization
Contact information
Practice address
3900 UNIVERSITY DR STE 320, FAIRFAX, VA 22030-2513
(301) 213-6637
(703) 563-9277
Mailing address
9198 SILVERLINE DR, FAIRFAX STATION, VA 22039-3109
(301) 213-6637
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
701006194
VA
261QM0850X
Adult Mental Health Clinic/Center
701006194
VA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
701006194
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
701006194
LPC LICENSE NUMBER
VA
Enumeration date
07/28/2017
Last updated
06/16/2018
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