Organization · Type 2 NPI

Life Line Addictions Foundation Inc.

Addiction (Substance Use Disorder) Counselor · Fairfax, VA

NPI number 1437223922 Active

Practice location

10374 Democracy Ln Ste A
Fairfax, VA 22030-2557

Fax (703) 691-7410

Mailing address

4308 Beaver Dam Rd
Jeffersonton, VA 22724-2001

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0718000188 (VA)
Clinical Social Worker 1041C0700X0904006265 (VA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1437223922

Life Line Addictions Foundation Inc.'s National Provider Identifier is 1437223922, issued on Nov 17, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfax, VA. The record was last updated on Sep 11, 2025.