Organization
FAMILY CENTER COUNSELING
Active
Organization
FAMILY CENTER COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORY FOX DIERKER (OWNER)
(703) 998-5606
Entity
Organization
Contact information
Practice address
5691 COLUMBIA PIKE, STE# 200, FALLS CHURCH, VA 22041-2887
(703) 998-5606
Mailing address
5691 COLUMBIA PIKE, STE# 200, FALLS CHURCH, VA 22041-2887
(703) 998-5606
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002996
VA
Other
Enumeration date
02/05/2008
Last updated
12/16/2009
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