Rule 62 Therapy LLC

NPI #1942073127 in Chantilly, Virginia

Provider Information

NPI Number: 1942073127
Entity Type: Organization
Organization Name: Rule 62 Therapy LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Oct 31, 2023
Last Updated: May 18, 2024

Practice Location

Address: 14117 MARIAH CT
City: Chantilly
State: Virginia
ZIP Code: 20151-2113
Phone: (571) 210-0355

Authorized Official

Name: SAMUEL KIM, LCSW
Title: CLINICAL DIRECTOR/PSYCHOTHERAPIST
Phone: (571) 520-2013

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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