Provider Demographics
NPI:1255669255
Name:PASTORAL COUNSELING OF NORTHERN VIRGINIA
Entity Type:Organization
Organization Name:PASTORAL COUNSELING OF NORTHERN VIRGINIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:NEIL
Authorized Official - Last Name:ALBRITTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-449-1944
Mailing Address - Street 1:4094 MAJESTIC LN
Mailing Address - Street 2:#237
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-2104
Mailing Address - Country:US
Mailing Address - Phone:703-449-1944
Mailing Address - Fax:
Practice Address - Street 1:541 MARSHALL RD SW
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-6462
Practice Address - Country:US
Practice Address - Phone:703-449-1944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-02
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health