Organization
LEAD CHANGES THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARED CHRISTOPHER CONCA (PRESIDENT)
(571) 643-8715
Entity
Organization
Contact information
Practice address
42395 RYAN RD, SUITE 112-109, ASHBURN, VA 20148-4863
(571) 643-8175
Mailing address
42395 RYAN RD, SUITE 112-109, ASHBURN, VA 20148-4863
(571) 643-8175
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
B301997
VA
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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