MEDICARE: MISS BRITTANY HOUSTON LMFT

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
1	106H00000X	Marriage & Family Therapist
2	106H00000X	Marriage & Family Therapist	0717001545	VA

General Provider Information

NPI Number	:	1053735407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS BRITTANY HOUSTON LMFT

Provider Business Mailing Address
First Line	:	6910 RICHMOND HWY STE 110
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22306-1850
Country	:	US
Telephone Number	:	703-660-8100
Fax Number	:	703-768-0103

Provider Business Practice Location Address
First Line	:	6910 RICHMOND HWY STE 110
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22306-1850
Country	:	US
Telephone Number	:	703-660-8100
Fax Number	:	703-768-0103

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2014
Last Update Date	:	09/02/2020

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Directions to “ MISS BRITTANY HOUSTON LMFT” Practice Location

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