person
Russell Larkin SR., MDIV,LPC
Professional Counselor in Falls Church, Virginia
NPI 1487197562

Russell Larkin SR. is a Professional Counselor based in Mc Lean, VA and is specialized in Professional. Russell Larkin SR. practices in Falls Church, VA and has the professional credentials of MDIV,LPC. The NPI Number for Russell Larkin SR. is 1487197562 and holds a License No. 0701000579 (Virginia).

The current practice location address for Russell Larkin SR. is 2135 Kings Garden Way, Falls Church, VA and can be reached out via phone at 703-851-4513. You can also correspond with Russell Larkin SR. through the mailing address at 1205 DOLLEY MADISON BLVD, MC LEAN, VA - 22101-3019 (mailing address contact number: 703-851-4513).

Location: 2135 Kings Garden Way, Falls Church, VA, 22101-3019
person
Provider Profile Details
NPI Number
1487197562
Provider Name
Russell Larkin SR.
Credential
MDIV,LPC
Provider Entity Type
Individual
Gender
Male
Address
2135 Kings Garden Way, Falls Church, VA, 22101-3019
Phone Number
703-851-4513
Fax Number
Provider Enumeration Date
11/22/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0701000579 01 VA DEPARTMENT OF HEALTH PROFESSIONS
institution
Provider Business Practice Location Address Details
Address
2135 Kings Garden Way
City
State
Zip
22043-2593
Phone Number
703-851-4513
Fax Number
person
Provider Business Mailing Address Details
Address
2135 Kings Garden Way
City
State
Zip
22043-2593
Phone Number
703-851-4513
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701000579 (Virginia)
Definition
Definition to come...
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