Crescent Counseling Center
Counselor, Mental Health in Springfield, VA. Organization (NPI-2).
NPI number1568055572
StatusActive
Last updated in NPPESFeb 23, 2021
Details
- NPI
- 1568055572
- Entity type
- Organization (NPI-2)
- Legal business name
- Crescent Counseling Center
- Organization subpart
- No
- Enumeration date
- Feb 19, 2021
- Certification date
- Feb 23, 2021
- Last updated
- Feb 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
8328 Traford Ln Ste CSpringfield, VA 22152-1667
Phone 603-801-0575
Mailing address
8328 Traford Ln Ste CSpringfield, VA 22152-1667
Phone 603-801-0575
Authorized official
Avery Colleen Allen
Co-Owner
6038010575
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