Individual
NICOLE LOREN LEFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19420 GOLF VISTA PLZ STE 250, LANSDOWNE, VA 20176-8267
(804) 207-6737
Mailing address
43167 ALLENBY WAY, LEESBURG, VA 20176-6474
(571) 598-8857
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704012969
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
HAVE NOT BEEN ISSUED IDENTIFIER
—
Enumeration date
10/10/2022
Last updated
10/10/2022
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