Organization
MCLEAN COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EHSAN HABIBPOUR M.D. (MEDICAL DIRECTOR)
(214) 228-9304
Entity
Organization
Contact information
Practice address
1307 VINCENT PLACE, MCLEAN, VA 22101
(703) 821-1073
(703) 288-0767
Mailing address
1307 VINCENT PLACE, MCLEAN, VA 22101
(703) 821-1073
(703) 288-0767
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1053467084
VA
103TC1900X
Counseling Psychologist
1659509198
VA
103TC2200X
Clinical Child & Adolescent Psychologist
1053467084
VA
103TF0000X
Family Psychologist
1659509198
VA
2084P0800X
Psychiatry Physician
Primary
1396942603
VA
2084P0804X
Child & Adolescent Psychiatry Physician
1396942603
VA
Other
Enumeration date
02/10/2017
Last updated
12/20/2021
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