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Carl Street, LPC

NPI 1720450943 · on the registry since 2015 · sole proprietor

Practice

Address
11835 Hazel Circle Dr
Bristow, VA 20136
Phone
(703) 636-5100
Organisation at this address
Youth For Tomorrow New Life Center Inc
Youth For Tomorrow New Life Center, Inc.
Youth For Tomorrow New Life Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Also registered as
101YA0400X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-10-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia