Organization
INTROSPECTIVE HEALING PSYCHOTHERAPY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE AGYPT LCSW (CO-OWNER)
(847) 687-8774
Entity
Organization
Contact information
Practice address
300 N WASHINGTON ST STE 303A, FALLS CHURCH, VA 22046-3438
(847) 687-8774
Mailing address
300 N WASHINGTON ST STE 303A, FALLS CHURCH, VA 22046-3438
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/07/2019
Last updated
12/07/2019
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