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Organization

THE VIRGINIA INSTITUTE FOR MARITAL & FAMILY THERAPY

Active
Other names
The Virginia Institute for Systemic Treatment
Organization subpart
No

Provider details

NPI number
Authorized official
BRUCE SANFORD EVANS LMFT LPC CSAC NCC (OWNER)
(804) 365-8555
Entity
Organization

Contact information

Practice address
13911 ST FRANCIS BLVD, SUITE 106, MIDLOTHIAN, VA 23114
(804) 365-8555
(804) 365-8575
Mailing address
13911 ST FRANCIS BLVD, SUITE 106, MIDLOTHIAN, VA 23114
(804) 365-8555
(804) 365-8575

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
0717000980
VA
251S00000X
Community/Behavioral Health Agency
Primary
72405001
VA

Other

Enumeration date
07/30/2006
Last updated
11/26/2007
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