Provider Demographics
NPI:1730318437
Name:CUJE, BETH B (EDD, LPC, LMFT)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:B
Last Name:CUJE
Suffix:
Gender:F
Credentials:EDD, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4390 LORCOM LANE
Mailing Address - Street 2:NO. 409
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-3327
Mailing Address - Country:US
Mailing Address - Phone:703-536-1836
Mailing Address - Fax:703-536-1836
Practice Address - Street 1:4390 LORCOM LANE
Practice Address - Street 2:NO. 409
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22207-3327
Practice Address - Country:US
Practice Address - Phone:703-536-1836
Practice Address - Fax:703-536-1836
Is Sole Proprietor?:No
Enumeration Date:2009-07-02
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701-000674101YP2500X
VA0717000092106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist