Organization
WAVES OF COURAGE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA THERESA GETHA LCSW (LICENSED CLINICAL SOCIAL WORKER)
(571) 206-8383
Entity
Organization
Contact information
Practice address
13132 MELVILLE LN, FAIRFAX, VA 22033-3701
(877) 928-3704
Mailing address
9480 MAIN ST # 1060, FAIRFAX, VA 22031-4032
(571) 206-8383
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
12/06/2023
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