Individual
MRS. MAAME-ESI ANSABA GAVOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
8140 ASHTON AVE, SUITE 200, MANASSAS, VA 20109-5698
(703) 330-9933
(703) 368-8454
Mailing address
8140 ASHTON AVE, SUITE 200, MANASSAS, VA 20109-5698
(703) 330-9933
(703) 368-8454
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
256062
VA
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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