Organization · Type 2 NPI
Potomac Psychological Center, LLC
Professional Counselor · Ashburn, VA
NPI number
1497984892
Active
Practice location
20925 Professional Plz, Suite 230
Ashburn, VA 20147-3403
Fax (703) 858-9697
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 0701003403 (VA) |
| Clinical Psychologist | 103TC0700X | 0810003656 (VA) |
| Clinical Social Worker | 1041C0700X | 0904004863 (VA) |
| Psychiatry Physician | 2084P0800X | 0101231051 (VA) |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 0101241532 (VA) |
Professional Counselor: Definition to come...
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About NPI 1497984892
Potomac Psychological Center, LLC's National Provider Identifier is 1497984892, issued on Jul 7, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ashburn, VA. The record was last updated on Jul 7, 2009.