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Organization
NOVA CLINICAL COUNSELING LLC
Active
Organization
NOVA CLINICAL COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE GORDEN (CLINICAL DIRECTOR)
(703) 682-8215
Entity
Organization
Contact information
Practice address
4229 LAFAYETTE CENTER DR STE 1300, CHANTILLY, VA 20151-1260
(703) 682-8215
Mailing address
4229 LAFAYETTE CENTER DR STE 1300, CHANTILLY, VA 20151-1260
(703) 682-8215
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
07/28/2026
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