Provider Demographics
NPI:1861031221
Name:PHILBIN, TAMARA SUE (MS, NCC)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:SUE
Last Name:PHILBIN
Suffix:
Gender:F
Credentials:MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2307 GLASGOW RD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22307-1821
Mailing Address - Country:US
Mailing Address - Phone:571-238-7223
Mailing Address - Fax:
Practice Address - Street 1:8009 FORT HUNT RD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22308-1207
Practice Address - Country:US
Practice Address - Phone:703-903-9696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-03
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor