Organization
IDEA COUNSELING SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM TODD SHANE LPC (CLINICAL DIRECTOR)
(703) 209-7624
Entity
Organization
Contact information
Practice address
1250 CONNECTICUT AVE NW FL 7, WASHINGTON, DC 20036-2603
(703) 209-7624
(202) 361-3508
Mailing address
9520 BLACKBURN DR, BURKE, VA 22015-1713
(703) 209-7624
(202) 261-3508
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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