institution
Living Free Health Services
Mental Health Counselor in Annandale, Virginia
NPI 1376660233

Living Free Health Services is a Mental Health Counselor based in Annandale, VA and is specialized in Mental Health. Living Free Health Services practices in Annandale, VA. The NPI Number for Living Free Health Services is 1376660233 and holds a License No. 149 (Virginia).

The current practice location address for Living Free Health Services is 4306 Evergreen Ln Ste 204, Annandale, VA and can be reached out via phone at 703-750-1292 and via fax at 703-642-0859. You can also correspond with Living Free Health Services through the mailing address at 4306 EVERGREEN LN STE 204, ANNANDALE, VA - 22003-3217 (mailing address contact number: 703-750-1292).

Location: 4306 Evergreen Ln Ste 204, Annandale, VA, 22003-3217
institution
Provider Profile Details
NPI Number
1376660233
Provider Name
Living Free Health Services
Credential
Provider Entity Type
Organization
Address
4306 Evergreen Ln Ste 204, Annandale, VA, 22003-3217
Phone Number
703-750-1292
Fax Number
703-642-0859
Provider Enumeration Date
03/24/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GV6 01 VA AETNA
GV6 01 VA CAREFIRST CAREFIRST BLUE
institution
Provider Business Practice Location Address Details
Address
4306 Evergreen Ln Ste 204
City
State
Zip
22003-3217
Phone Number
703-750-1292
Fax Number
703-642-0859
person
Provider Business Mailing Address Details
Address
4306 Evergreen Ln Ste 204
City
State
Zip
22003-3217
Phone Number
703-750-1292
Fax Number
703-642-0859
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
149 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
149 (Virginia)
Definition
Definition to come...
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