| The Willow Tree | |
|
8 Bloomington Ln Stafford VA 22554-7727 | |
| (540) 645-8992 | |
| Not Available |
| Full Name | The Willow Tree |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8 Bloomington Ln, Stafford, Virginia |
| Authorized Official Name and Position | Elesia S Vanburen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5406458992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Willow Tree 8 Bloomington Ln Stafford VA 22554-7727 Ph: (540) 645-8992 | The Willow Tree 8 Bloomington Ln Stafford VA 22554-7727 Ph: (540) 645-8992 |
| NPI Number | 1548683808 |
|---|---|
| Provider Enumeration Date | 01/22/2014 |
| Last Update Date | 01/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548683808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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