Individual
ERIC G. DITTMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
205 S WHITING ST, SUITE 601, ALEXANDRIA, VA 22304-7100
(703) 360-3611
Mailing address
8320 W BOULEVARD DR, ALEXANDRIA, VA 22308-1913
(703) 360-1291
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904003383
VA
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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