Organization
MULTICULTURAL CLINICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA KEEGAN L.C.S.W. (EXECUTIVE DIRECTOR)
(703) 354-0000
Entity
Organization
Contact information
Practice address
6563 EDSALL RD, SPRINGFIELD, VA 22151-4414
(703) 354-0000
(703) 354-1129
Mailing address
6563 EDSALL RD, SPRINGFIELD, VA 22151-4414
(703) 354-0000
(703) 354-1129
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
123
VA
Other
Enumeration date
03/21/2006
Last updated
08/22/2020
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