Organization Name: | NORTHERN VIRGINIA FAMILY SERVICE |
NPI Number: | 1902924061 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROL F. BAKER (COUNSELOR) |
Mailing Address: | 10455 White Granite Dr Suite 100 Oakton |
State: | VA US |
Postal Code: | 221242764 |
Phone Number: | 7032192128 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 09400532 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |