Doctor Name: | DR. RANDALL LEAVITT PRIOR |
NPI Number: | 1205109055 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.MIN |
License Number: | |
Business Practice Address: | 10723 Main St Fairfax Presbyterian Church Fairfax, VA - 220306905 |
Business Phone Number: | 7032705300 |
Business Fax Number: | |
Mailing Address: | Po Box Qq, Center For Pastoral Counseling Of Virginia MC LEAN |
State: | VA |
Postal Code: | 221010700 |
Phone Number: | 7039039696 |
Fax Number: | |
NPI Enumeration Date: | 02/09/2012 |
NPI Last Update Date: | 02/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |