Organization
COMMONWEALTH MENTAL HEALTH ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ANTHONY RUTKOWSKI LCSW (PRESIDENT)
(703) 569-2168
Entity
Organization
Contact information
Practice address
8322 D TRAFORD LANE, SPRINGFIELD, VA 22152
(703) 913-3503
(703) 913-1193
Mailing address
8322 D TRAFORD LANE, SPRINGFIELD, VA 22152
(703) 913-3503
(703) 913-1193
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
VA
Other
Enumeration date
04/11/2007
Last updated
07/21/2022
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