Organization
BANYAN COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA LOUISE HARRIS LCSW (PRESIDENT)
(703) 717-0999
Entity
Organization
Contact information
Practice address
2820 SCHOOL ST, ALEXANDRIA, VA 22303-2443
(703) 717-0999
(703) 717-0999
Mailing address
2820 SCHOOL ST, ALEXANDRIA, VA 22303-2443
(703) 717-0999
(703) 717-0999
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002248
VA
Other
Enumeration date
06/28/2007
Last updated
08/22/2020
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