Organization
STELLA BRIZUELA-MORENO DBA INTERNATIONAL CONSULTING CENTER
Active
Other names
International Consulting Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STELLA BRIZUELA-MORENO PH.D. (EXECUTIVE DIRECTOR)
(703) 255-1600
Entity
Organization
Contact information
Practice address
8300 BOONE BLVD, SUITE 500, VIENNA, VA 22182-2626
(703) 255-1600
(703) 652-7641
Mailing address
8300 BOONE BLVD, SUITE 500, VIENNA, VA 22182-2626
(703) 255-1600
(703) 652-7641
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
0718000189
VA
103TC1900X
Counseling Psychologist
Primary
PRC 312
DC
106H00000X
Marriage & Family Therapist
0717000665
VA
Other
Enumeration date
11/14/2007
Last updated
07/26/2011
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