Organization
MOUNT VERNON FAMILY THERAPY ASSOC. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIN BRAMMER ROSENTHAL MA, LPC (OWNER)
(703) 768-6240
Entity
Organization
Contact information
Practice address
1707 BELLE VIEW BLVD, C-2, ALEXANDRIA, VA 22307-6727
(703) 768-6240
(703) 768-6264
Mailing address
1707 BELLE VIEW BLVD, C-2, ALEXANDRIA, VA 22307-6727
(703) 768-6240
(703) 768-6264
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701001872
VA
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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