Lieberman, Michael Charles
Lieberman, Michael Charles is an individual health care provider with primary practice located at 3921 Blenheim Blvd Ste 73C , Fairfax VA 22030-2429. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Lieberman, Michael Charles can be contacted via phone (703) 919-5543.Contact Information
Primary practice address
3921 Blenheim Blvd Ste 73C
Fairfax VA 22030-2429
Phone: (703) 919-5543
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701006194 | Virginia |
Profile Details
| NPI number | 1558802033 |
|---|---|
| LBN Legal business name | Lieberman, Michael Charles |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2017 |
| Last updated | Oct 7th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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