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NPI Code Detail

MEDICARE: MS. CHRISTINA HALSTEAD LCSW

MEDICARE:  MS. CHRISTINA  HALSTEAD  LCSW
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
11041C0700XClinical Social Worker0904009225VA

General Provider Information

NPI Number : 1710345061
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHRISTINA HALSTEAD LCSW
Provider Business Mailing Address
First Line : 2104 MOUNT VERNON AVE
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22301-1312
Country : US
Telephone Number : 301-538-5996
Fax Number :
Provider Business Practice Location Address
First Line : 2104 MOUNT VERNON AVE
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22301-1312
Country : US
Telephone Number : 301-538-5996
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2016
Last Update Date : 02/24/2020

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Directions to “ MS. CHRISTINA HALSTEAD LCSW” Practice Location

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