Provider Demographics
NPI:1750717807
Name:DG COUNSELING COMPANY
Entity type:Organization
Organization Name:DG COUNSELING COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:571-208-2056
Mailing Address - Street 1:153 REDMON LN
Mailing Address - Street 2:
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-4957
Mailing Address - Country:US
Mailing Address - Phone:571-208-2056
Mailing Address - Fax:703-649-6471
Practice Address - Street 1:8715 PLANTATION LN
Practice Address - Street 2:STE 301 A
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-8323
Practice Address - Country:US
Practice Address - Phone:571-208-2056
Practice Address - Fax:703-649-6471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-20
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005090101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty