Organization
EMPOWERMENT THERAPY CENTER, ETC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BROOKE UTLEY LPC (LICENSED PROFESSIONAL COUNSELOR)
(833) 382-5433
Entity
Organization
Contact information
Practice address
9720 CAPITAL CT, 303, MANASSAS, VA 20110-2044
(833) 382-5433
Mailing address
9720 CAPITAL CT STE 303, MANASSAS, VA 20110-2051
(833) 382-5433
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701006033
VA
Other
Enumeration date
11/27/2017
Last updated
06/05/2024
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