Organization
CREATIVE SELF-DEVELOPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILLI MARIE VINCENZ PHD, LPC (LICENSED PROFESSIONAL COUNSELOR)
(703) 532-2731
Entity
Organization
Contact information
Practice address
1909 N OHIO ST, ARLINGTON, VA 22205-2136
(703) 532-2731
Mailing address
1909 N OHIO ST, ARLINGTON, VA 22205-2136
(703) 532-2731
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0701000871
VA
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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