Organization
CEDAR SPRING COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN ANN OTERO LCPC (OWNER)
(301) 375-0797
Entity
Organization
Contact information
Practice address
9300 FOREST POINT CIR STE 176, MANASSAS, VA 20110-4766
(703) 623-6204
Mailing address
9300 FOREST POINT CIR STE 176, MANASSAS, VA 20110-4766
(703) 623-6204
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30017444240001
—
VA
Enumeration date
01/11/2022
Last updated
07/13/2022
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