Organization
WHOLISTIC WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDANCE DORAN (OWNER)
(703) 249-9175
Entity
Organization
Contact information
Practice address
5680 KING CENTRE DR STE 600, ALEXANDRIA, VA 22315-5755
(703) 249-9175
(703) 562-7714
Mailing address
5680 KING CENTRE DR STE 600, ALEXANDRIA, VA 22315-5755
(703) 249-9175
(703) 562-7714
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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