| NPI | 1558542928 |
|---|---|
| Other Name | INTERNATIONAL CONSULTING CENTER |
| Entity Type | Organization |
| Authorized Contact | STELLA BRIZUELA-MORENO Executive Director 703-255-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: DC PRC 312) |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: VA 0718000189) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717000665) | |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2011-07-26 |