Innovative Consulting International, Inc.

NPI #1841388865 in Ashburn, Virginia

Provider Information

NPI Number: 1841388865
Entity Type: Organization
Organization Name: Innovative Consulting International, Inc.
Primary Specialty: Counselor
Enumeration Date: Oct 11, 2006
Last Updated: Jun 20, 2008

Practice Location

Address: 44025 PIPELINE PLZ
Address 2: SUITE 110
City: Ashburn
State: Virginia
ZIP Code: 20147-5881
Phone: (703) 636-2888

Authorized Official

Name: DR. CARY CRAIG MOORMAN, PH.D.
Title: OWNER/PRESIDENT
Phone: (703) 636-2888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor	101Y00000X	Primary

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