Organization
DIANA O'BRIEN, LCSW. MED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA O'BRIEN LCSW (SOCIAL WORKER)
(703) 930-5498
Entity
Organization
Contact information
Practice address
5675 STONE RD STE 300, CENTREVILLE, VA 20120-1667
(703) 930-5498
Mailing address
5675 STONE RD STE 300, CENTREVILLE, VA 20120-1667
(703) 930-5498
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0904005203
VA
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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