Individual
MARISSA HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 W CORK ST UNIT 35, WINCHESTER, VA 22601-3897
(703) 946-5377
Mailing address
1004 GALLERY CT, JEANNETTE, PA 15644-4826
(703) 946-5377
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701011415
VA
Other
Enumeration date
11/11/2014
Last updated
02/19/2025
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