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Individual

VIRGINIA LEE MADDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
6408 GROVEDALE DR STE 204, ALEXANDRIA, VA 22310-2596
(571) 543-3979
Mailing address
6408 GROVEDALE DR STE 204, ALEXANDRIA, VA 22310-2596
(704) 689-3395

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704014643
VA
101YM0800X
Mental Health Counselor
LC12710
MD

Other

Enumeration date
06/12/2019
Last updated
03/13/2024
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