Organization
WAVES OF COURAGE COUNSELING LLC
Active
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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