DR. VIRGINIA L REVERE


Address: 9012 Linton Ln, Alexandria, VA 22308-2733
Phone: 7037804872

DR. VIRGINIA L REVERE (NPI# 1538174107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538174107
Entity Type Individual
Full Name DR. VIRGINIA L REVERE
Credential PH.D.
Practice Address 9012 Linton Ln
Alexandria
VA 22308-2733
Practice Telephone 7037804872
Mailing Telephone 7037804872
Enumeration Date 2006-07-30
Last Update Date 2011-10-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
0810000939 VA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 7703431 05

Office Location

Street Address 9012 LINTON LN
City ALEXANDRIA
State VA
Zip Code 22308-2733

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1003116161 Binhgiang Hung Nguyen Pharmacist 7900 Fort Hunt Rd, Alexandria, VA 22308-1203 2010-10-23
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1326688763 Kristina Jorden Counselor 2 Herbert St, Alexandria, VA 22305-2628 2020-01-14
1194370940 Maya Arth Counselor 4480 King St Fl 5, Alexandria, VA 22302-1339 2019-08-08
1356995898 Tika Trotter-mason Counselor 1900 N Beauregard Street, Alexandria, VA 22311 2019-08-01
1093367096 Shannon Rae Birkner Counselor 5695 King Centre Dr Ste B101, Alexandria, VA 22315-5747 2019-07-10
1093377558 Sagan Marie King Counselor 782 N Howard St Apt 403, Alexandria, VA 22304-5423 2019-07-05
1578024766 Ebony Griffin Counselor 4328 Duke St, Alexandria, VA 22304-2528 2019-03-29
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Competitor

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City ALEXANDRIA
Zip Code 22308

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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