Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Source Counseling Center, Inc

Organization Clinical Social Worker · NPI 1801565999

Life Source Counseling Center, Inc is a Clinical Social Worker in Fredericksburg, Virginia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3516 Plank Rd Ste 5C
Fredericksburg, VA 22407-6861
Phone: (540) 786-3049
Fax: (540) 301-2403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1801565999
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Crystal Jones — Owner · (301) 523-3642
NPI enumeratedSeptember 10, 2021
Last updated in NPPESSeptember 10, 2021
Certification dateSeptember 10, 2021
Mailing address3516 Plank Rd Ste 5c, Fredericksburg, VA 22407-6861

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