| NPI | 1558000166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDANCE DORAN Owner 703-249-9175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2022-06-01 |