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Individual

MS. EILEEN GARDNER O'BEIRNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, LMFT

Contact information

Practice address
720 N SAINT ASAPH ST, ALEXANDRIA, VA 22314-1912
(703) 838-4600
(703) 838-5070
Mailing address
9828 SQUAW VALLEY DR, VIENNA, VA 22182-1959
(703) 838-6400
(703) 838-5070

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701001725
VA
106H00000X
Marriage & Family Therapist
Primary
0717000838
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
546001103002
TRICARE
VA
01
57810129
BLUE CROSS BLUE SHIELD
VA
01
8200187424
ANTHEM
VA
01
8500299080
AMERIGROUP VIRGINIA INC.
VA
Enumeration date
12/12/2006
Last updated
09/11/2025
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