Organization
PHOENIX COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSELLE STARK CNS (CEO)
(703) 577-1492
Entity
Organization
Contact information
Practice address
8609 SUDLEY RD, SUITE 201, MANASSAS, VA 20110-8321
(703) 577-1492
(703) 530-8801
Mailing address
8609 SUDLEY RD, SUITE 201, MANASSAS, VA 20110-8321
(703) 577-1492
(703) 530-8801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0015000582
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010345308
—
VA
Enumeration date
05/04/2012
Last updated
04/12/2016
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