Individual
MADELINE R GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
465 CARLISLE DR # 204, HERNDON, VA 20170-5616
(571) 377-8114
(571) 933-4225
Mailing address
465 CARLISLE DR # 204, HERNDON, VA 20170-5616
(571) 377-8114
(571) 933-4225
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701014103
VA
Other
Enumeration date
04/25/2023
Last updated
09/08/2025
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