Organization
BODYMIND INTEGRATED COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNOR KEUNTJE LPC, LCPC (OWNER)
(571) 327-0890
Entity
Organization
Contact information
Practice address
15000 POTOMAC TOWN PL # 184, WOODBRIDGE, VA 22191-6586
(571) 327-0890
Mailing address
15000 POTOMAC TOWN PL # 184, WOODBRIDGE, VA 22191-6586
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
09/23/2025
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