Individual
NICOLE MANIGLIA ALESTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
5280 LYNGATE CT, BURKE, VA 22015-1688
(571) 969-1572
Mailing address
5280 LYNGATE CT, BURKE, VA 22015-1688
(571) 969-1572
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701005212
VA
Other
Enumeration date
02/04/2014
Last updated
03/25/2014
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