Individual provider · Type 1 NPI
Mary Kresser, PhD, LPC, LCSW, CAC
Addiction (Substance Use Disorder) Counselor · Fort Lee, VA
NPI number
1861549974
Active
Practice location
700 24th St
Fort Lee, VA 23801-1716
Fax (877) 974-1008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 0904006403 (VA) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0701003295 (VA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1861549974
Mary Kresser, PhD, LPC, LCSW, CAC's National Provider Identifier is 1861549974, issued on Jan 4, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Lee, VA. The record was last updated on May 9, 2011.