Organization
AFFIRMATIVE THERAPY OF NORTHERN VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN LAMONT COSTEN-SUMPTER LCSW (OWNER)
(404) 987-3768
Entity
Organization
Contact information
Practice address
5250 CHEROKEE AVE STE 497, ALEXANDRIA, VA 22312-2052
(404) 987-3768
Mailing address
5250 CHEROKEE AVE STE 497, ALEXANDRIA, VA 22312-2052
(404) 987-3768
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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