Carl Street, LPC
Carl Street, LPC is a Mental Health Counselor in Bristow, Virginia. Qualified in 2011, 15 years ago. Practices with Youth for Tomorrow New Life Center Inc, a 15-clinician group and accepts Medicare assignment. Licensed in Virginia.
- Years since qualifying
- 15
- Licensed in
- VA
- In the registry since
- 2015
- Specialties on file
- 2
What do these letters mean?
- LPC — Licensed Professional Counselor
- A licensed mental health counsellor.
Practice location Address checks out
11835 Hazel Circle DrBristow, VA 20136-2180
Phone: (703) 636-5100
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X · Licence 0701005656 (VA) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 0718000249 (VA) |
Record details
| NPI number | 1720450943 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LPC |
| Sole proprietor | Yes |
| NPI enumerated | October 27, 2015 |
| Last updated in NPPES | October 27, 2015 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Youth For Tomorrow New Life Center Inc — 15 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Bristow
-
Nada Girgis
9801 Nugget Ct, Bristow, VA 20136-2430 · (703) 969-5797
-
Safe Harbor Christian Counseling
9560 Linton Hall Rd, Bristow, VA 20136-1218 · (410) 893-4600
-
Wishbone Counseling, LLC
10057 Moxleys Ford Ln, Bristow, VA 20136 · (571) 259-9573