Doctor Name: | REBECCA HARRISON |
NPI Number: | 1053501338 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 6036 Franklin Park Rd Mc Lean, VA - 221014211 |
Business Phone Number: | 7035325025 |
Business Fax Number: | |
Mailing Address: | 6036 Franklin Park Rd, MC LEAN |
State: | VA |
Postal Code: | 221014211 |
Phone Number: | 7035325025 |
Fax Number: | |
NPI Enumeration Date: | 08/01/2007 |
NPI Last Update Date: | 10/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |