NPI 1235240805 · live from the CMS NPI Registry
Russell Parrish Carlton, D.Min, LPC, LMFT
Marriage & Family Therapist in Sterling, VA. National Provider Identifier 1235240805, active.
NPI record
| NPI | 1235240805 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 22636 Glenn Dr, Suite 105, Sterling, VA 20164 |
| Practice phone | 703-544-9778 |
| Mailing address | 22636 Glenn Dr Ste 105, Sterling, VA 20164 |
| Enumerated | August 31, 2006 |
| Last updated | December 17, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional | 101YP2500X | 0701002039 (VA) |
| Marriage & Family Therapist | 106H00000X | 3476 (TX) |
| Marriage & Family Therapist | 106H00000X | 521 (NC) |
| Marriage & Family Therapist primary | 106H00000X | 0717000089 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.