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Individual

DR. MICHAEL THOMAS GREELIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
487 CARLISLE DR STE B, HERNDON, VA 20170-4899
(703) 435-7251
(703) 773-6917
Mailing address
487 CARLISLE DR STE B, HERNDON, VA 20170-4899
(703) 435-7251
(703) 773-6917

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002348
VA
106H00000X
Marriage & Family Therapist
0717000330
VA

Other

Enumeration date
12/21/2007
Last updated
10/06/2014
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