Colleen Baker, LMFT
Individual provider Active NPI Marriage & Family Therapist · McLean, VA
NPI 1093033748 · NPPES record last updated May 5, 2010
Key facts
- NPI
- 1093033748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 0717001211 (VA)
- Practice address
- 1487 Chain Bridge Road
Suite 300
McLean, VA 22101 - Phone
- (703) 966-7223
- Fax
- (703) 356-0633
- NPI assigned
- May 5, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0717001211 | VA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0717001211 | VA | Yes |
Addresses
Primary practice location
1487 Chain Bridge Road
Suite 300
McLean, VA 22101
Mailing address
1487 Chain Bridge Road
Suite 300
McLean, VA 22101
Phone (703) 966-7223
Other providers in McLean, VA
- Apspex Inc Dba Pearle Vison
- Alireza Aram
- Eugene F. Augusterfer
- Awareness Home Healthcare Inc
- Behyar David Badiee
- Joubin Bakhtar
- Victoria J Balenger
- Marlene Z Barsoum
- Lois C Bartis
- Rohini Battu
All providers in McLean, VA · Marriage & Family Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.