Organization · Type 2 NPI

Lifeline Psychotherapy Services

Marriage & Family Therapist · Fairfax, VA

NPI number 1417469974 Active

Practice location

11350 Random Hills Rd Ste 800
Fairfax, VA 22030-6044

Call (703) 409-6258 Map

Mailing address

12646 Heron Ridge Dr
Fairfax, VA 22030-6638

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X0710000893 (VA)
Professional Counselor 101YP2500X0701002418 (VA)
Marriage & Family Therapist Primary 106H00000X0717000800 (VA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1417469974

Lifeline Psychotherapy Services's National Provider Identifier is 1417469974, issued on Oct 24, 2017. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Fairfax, VA. The record was last updated on Oct 24, 2017.