| Arthur Daniel Square Jr, LPC | |
|
14000 Crown Ct Ste 101, Woodbridge, VA 22193-1461 | |
| (703) 659-9900 | |
| (571) 285-5686 |
| Full Name | Arthur Daniel Square Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 14000 Crown Ct Ste 101, Woodbridge, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255983987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701008343 (Virginia) | Primary |
| Entity Name | Prince William County Community Services Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053402800 PECOS PAC ID: 7113912973 Enrollment ID: O20040420000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Arthur Daniel Square Jr, LPC Po Box 2111, Woodbridge, VA 22195-2111 Ph: (703) 409-7612 | Arthur Daniel Square Jr, LPC 14000 Crown Ct Ste 101, Woodbridge, VA 22193-1461 Ph: (703) 659-9900 |
Addie Mae Brown, LPC, LMFT, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13000 Harbor Center Dr Ste 352, Woodbridge, VA 22192 Phone: 703-270-1017 |
Elizabeth Sue Wyman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4899 Prince William Pkwy, Woodbridge, VA 22192 Phone: 833-510-4357 |
Mr. Dekiegai Eleazer Reeves, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14786 Barksdale St, Woodbridge, VA 22193 Phone: 703-864-4561 |
Caitlin Lisee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13000 Harbor Center Dr Ste 301, Woodbridge, VA 22192 Phone: 703-492-2994 |
Mr. Michael Howard Borash, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1388 Old Bridge Rd, Woodbridge, VA 22192 Phone: 800-799-1212 Fax: 703-492-7768 |
Abigail Elizabeth Salazar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14938 Fruit Tree Ct, Woodbridge, VA 22193 Phone: 520-313-6440 |
Labrae' Shauntell Hazelwood, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1434 Deerfield Ln, Woodbridge, VA 22191 Phone: 804-496-0864 |