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Organization
WAVES OF GRACE COUNSELING, LLC
Active
Organization
WAVES OF GRACE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MANION LPC (OWNER)
(804) 338-6220
Entity
Organization
Contact information
Practice address
305 HANSON AVE STE 170, FREDERICKSBURG, VA 22401-3175
(540) 361-4330
(540) 361-4331
Mailing address
305 HANSON AVE STE 170, FREDERICKSBURG, VA 22401-3175
(540) 361-4330
(540) 361-4331
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005506
VA
Other
Enumeration date
12/02/2013
Last updated
05/13/2015
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