Individual
KATRICE GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 WOODBURN RD, ANNANDALE, VA 22003-1202
(703) 205-9452
Mailing address
3300 WOODBURN RD, ANNANDALE, VA 22003-1202
(703) 205-9452
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710102724
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
1640
VA
1041C0700X
Clinical Social Worker
Primary
0904009060
VA
Other
Enumeration date
10/04/2016
Last updated
08/27/2021
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