Organization
FAIRFAX INTEGRATIVE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAUREEN BETHEA LMFT (OWNER)
(703) 744-0609
Entity
Organization
Contact information
Practice address
10640 PAGE AVE STE 210, FAIRFAX, VA 22030-4000
(704) 614-2388
Mailing address
10640 PAGE AVE STE 210, FAIRFAX, VA 22030-4000
(704) 614-2388
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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