Organization
COVERED DBT & BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNA MARINO PHD (DIRECTOR)
(571) 477-1611
Entity
Organization
Contact information
Practice address
1765 GREENSBORO STATION PL FL 9, MC LEAN, VA 22102-3472
(571) 477-1611
Mailing address
1765 GREENSBORO STATION PL FL 9, MC LEAN, VA 22102-3472
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/06/2026
Last updated
07/13/2026
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