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Creating Space Therapy Pllc
Professional Counselor in Reston, Virginia
NPI 1134998982

Creating Space Therapy Pllc is a Professional Counselor based in Reston, VA and is specialized in Professional. Creating Space Therapy Pllc practices in Reston, VA. The NPI Number for Creating Space Therapy Pllc is 1134998982 and holds a License No. (Virginia).

The current practice location address for Creating Space Therapy Pllc is 12020 Sunrise Valley Dr Ste 100, Reston, VA and can be reached out via phone at 571-241-3915.

Location: 12020 Sunrise Valley Dr Ste 100, Reston, VA, 20191-3429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134998982
Provider Name
Creating Space Therapy Pllc
Credential
Provider Entity Type
Organization
Address
12020 Sunrise Valley Dr Ste 100, Reston, VA, 20191-3429
Phone Number
571-241-3915
Fax Number
Provider Enumeration Date
12/21/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
12020 Sunrise Valley Dr Ste 100
City
Reston
State
Virginia
Zip
20191-3429
Phone Number
571-241-3915
Fax Number
person
Provider Business Mailing Address Details
Address
12020 Sunrise Valley Dr Ste 100
City
Reston
State
Virginia
Zip
20191-3429
Phone Number
571-241-3915
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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