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NPI Code Detail

MEDICARE: ANTHONY MICHAEL BRIGGS SR. LPC

MEDICARE: ANTHONY MICHAEL BRIGGS SR. LPC
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
1101YM0800XMental Health Counselor0701003696VA

General Provider Information

NPI Number : 1083781793
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY MICHAEL BRIGGS SR. LPC
Provider Business Mailing Address
First Line : 720 N SAINT ASAPH ST
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-1912
Country : US
Telephone Number : 703-838-6400
Fax Number : 703-519-3482
Provider Business Practice Location Address
First Line : 720 N SAINT ASAPH ST
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-1912
Country : US
Telephone Number : 703-838-6400
Fax Number : 703-519-3482
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 07/08/2007

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