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NPI Code Detail

MEDICARE: NORTHFIELD FOUNDATION

MEDICARE: NORTHFIELD FOUNDATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1912258104
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHFIELD FOUNDATION
Provider Business Mailing Address
First Line : 2550 PROFESSIONAL RD
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23235-3214
Country : US
Telephone Number : 804-658-5222
Fax Number :
Provider Business Practice Location Address
First Line : 2550 PROFESSIONAL RD
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23235-3214
Country : US
Telephone Number : 804-658-5222
Fax Number :
Authorized Official
Title or Position : CEO AND FOUNDER
Name : GWEN SEILER
Credential : RN
Telephone Number : 804-658-5222
Provider Enumeration Date : 09/27/2012
Last Update Date : 09/27/2012

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Directions to “NORTHFIELD FOUNDATION ” Practice Location

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