Megan E Fellows Lpc, Inc. | |
129 Park St Ne Suite 10-a Vienna VA 22180-4603 | |
(571) 296-0583 | |
(703) 991-9149 |
Full Name | Megan E Fellows Lpc, Inc. |
---|---|
Speciality | Counselor - Mental Health |
Location | 129 Park St Ne, Vienna, Virginia |
Authorized Official Name and Position | Megan E Fellows (OWNER) |
Authorized Official Contact | 5712960583 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Megan E Fellows Lpc, Inc. 129 Park St Ne Suite 10-a Vienna VA 22180-4603 Ph: (571) 296-0583 | Megan E Fellows Lpc, Inc. 129 Park St Ne Suite 10-a Vienna VA 22180-4603 Ph: (571) 296-0583 |
NPI Number | 1043596497 |
---|---|
Provider Enumeration Date | 10/31/2011 |
Last Update Date | 10/31/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043596497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0701004609 (Virginia) | Primary |
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