Alexandria Art Therapy, LLC
Counselor, Professional in Alexandria, VA. Organization (NPI-2).
NPI number1689197790
StatusActive
Last updated in NPPESNov 3, 2020
Details
- NPI
- 1689197790
- Entity type
- Organization (NPI-2)
- Legal business name
- Alexandria Art Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Jul 20, 2017
- Certification date
- Nov 3, 2020
- Last updated
- Nov 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 0701007203 | VA | Yes |
Practice location
1008 Pendleton St Ste 1aAlexandria, VA 22314-2182
Phone 703-596-9557
Mailing address
1008 Pendleton St Ste 1aAlexandria, VA 22314-2182
Phone 703-596-9557
Other practice locations
108a S Columbus St
Alexandria, VA 22314-3051
Alexandria, VA 22314-3051
Phone 703-596-9557
129 S Royal St Ste 6
Alexandria, VA 22314
Alexandria, VA 22314
Phone 703-596-9557
Authorized official
Adele Stuckey
Owner
7035969557
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