| Commonwealth Mental Healyh Associates | |
|
8322 Traford Ln D Springfield VA 22152-1668 | |
| (703) 913-3503 | |
| (703) 913-1193 |
| Full Name | Commonwealth Mental Healyh Associates |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8322 Traford Ln, Springfield, Virginia |
| Authorized Official Name and Position | Mark A Rutkowski (PRESIDENT) |
| Authorized Official Contact | 7039133503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Mental Healyh Associates 8322 Traford Ln # D Springfield VA 22152-1668 Ph: (703) 913-3503 | Commonwealth Mental Healyh Associates 8322 Traford Ln D Springfield VA 22152-1668 Ph: (703) 913-3503 |
| NPI Number | 1194842831 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194842831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Virginia) | Primary |
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