360 INNOVATIVE THERAPY LLC

NPI: 1770178816 · Organization · Active

Primary Specialty

Addiction (Substance Use Disorder) Counselor
Counselor — Addiction (Substance Use Disorder)

Practice Location

10304 EATON PL STE 100
FAIRFAX, VA 22030-2238 Map ↗
Phone: 571-575-3767
Fax: 877-525-1222

All Specialties & Licenses

  • Addiction (Substance Use Disorder) Counselor Primary — Addiction (Substance Use Disorder)
  • Counselor
  • Mental Health Counselor — Mental Health
  • School Counselor — School

NPI Registration

Enumerated: 2021-03-01

Last CMS Update: 2021-03-01