Individual
MS. NICOLE J LOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED, PPS, NCC
Contact information
Practice address
5240 LYNGATE CT, BURKE, VA 22015-1631
(571) 549-1519
Mailing address
6868 BRINDLE HEATH WAY, ALEXANDRIA, VA 22315-5804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RESIDENT
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
VA
Enumeration date
02/15/2018
Last updated
06/16/2018
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