Dr. Randall Leavitt Prior
Counselor Pastoral Counselor
10723 Main St Fairfax Presbyterian Church
Fairfax
, Virginia 22030-6905
Dr. Randall Leavitt Prior
Counselor Pastoral Counselor
10723 Main St Fairfax Presbyterian Church
Fairfax
, Virginia 22030-6905
(703) 903-9696
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About
Features
Specialties
- Counselor
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Dr. Randall Leavitt Prior
- Po Box Qq Center For Pastoral Counseling Of Virginia
- Mc Lean, VA
- Zip : 22101-0700
- Phone : (703) 903-9696
Second Address
- Dr. Randall Leavitt Prior
- 10723 Main St Fairfax Presbyterian Church
- Fairfax, VA
- Zip : 22030-6905
- Phone : (703) 270-5300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101Y00000X | Counselor | ||
| Y | 101YP1600X | Pastoral Counselor |
National Provider Identifier
| NPI | 1205109055 |
|---|---|
| Provider Name | Dr. Randall Leavitt Prior |
| First Address | Mc Lean, VA 22101-0700 |
| Second Address | Fairfax, VA 22030-6905 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/02/2012 |
| Last Update Date | 09/02/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.