Organization
ALEXANDRIA ART THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADELE STUCKEY MA, LPC, ATR-BC (OWNER)
(703) 596-9557
Entity
Organization
Contact information
Practice address
1008 PENDLETON ST STE 1A, ALEXANDRIA, VA 22314-2182
(703) 596-9557
Mailing address
1008 PENDLETON ST STE 1A, ALEXANDRIA, VA 22314-2182
(703) 596-9557
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007203
VA
Other
Enumeration date
07/20/2017
Last updated
11/03/2020
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