Organization
ADVANTAGE THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOANG OANH RODGERS L.P.C. L.M.F.T. (EXECUTIVE DIRECTOR)
(540) 654-5113
Entity
Organization
Contact information
Practice address
9352 BIRCHFIELD WAY, LORTON, VA 22079-3440
(703) 409-6258
Mailing address
915 LAFAYETTE BLVD # C, FREDERICKSBURG, VA 22401-5667
(540) 654-5113
(540) 654-5859
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710000893
VA
101YP2500X
Professional Counselor
Primary
0717000800
VA
106H00000X
Marriage & Family Therapist
0717000800
VA
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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