| Benjamin Counseling Center | |
|
7614 Sheffield Green Way Lorton VA 22079-1710 | |
| (703) 599-1852 | |
| (186) 666-8453 |
| Full Name | Benjamin Counseling Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7614 Sheffield Green Way, Lorton, Virginia |
| Authorized Official Name and Position | Annetta Serena Benjamin (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7035991852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Counseling Center 12504 Lake Ridge Dr Suite C Woodbridge VA 22192-2390 Ph: (703) 599-1852 | Benjamin Counseling Center 7614 Sheffield Green Way Lorton VA 22079-1710 Ph: (703) 599-1852 |
| NPI Number | 1205134962 |
|---|---|
| Provider Enumeration Date | 03/04/2011 |
| Last Update Date | 03/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205134962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701004674 (Virginia) | Primary |
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