| Joseph Fruth, Lcsw, Pllc | |
|
205 Van Buren St Ste 120 Herndon VA 20170-5336 | |
| (301) 893-4486 | |
| Not Available |
| Full Name | Joseph Fruth, Lcsw, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 205 Van Buren St Ste 120, Herndon, Virginia |
| Authorized Official Name and Position | Joseph Fruth (OWNER) |
| Authorized Official Contact | 3018934486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Fruth, Lcsw, Pllc 205 Van Buren Street Suite 120 #1028 Herndon VA 20170 Ph: (301) 893-4486 | Joseph Fruth, Lcsw, Pllc 205 Van Buren St Ste 120 Herndon VA 20170-5336 Ph: (301) 893-4486 |
| NPI Number | 1558222927 |
|---|---|
| Provider Enumeration Date | 11/24/2025 |
| Last Update Date | 11/24/2025 |
| Certification Date | 11/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558222927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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