Organization
HANOVER COUNSELING ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA CORSO MASOURAS LCSW (OWNER, BUSINESS MANAGER)
(804) 789-1224
Entity
Organization
Contact information
Practice address
8249 CROWN COLONY PKWY STE 200, MECHANICSVILLE, VA 23116-4057
(804) 789-1224
(804) 789-9564
Mailing address
8249 CROWN COLONY PKWY STE 200, MECHANICSVILLE, VA 23116-4057
(804) 789-1224
(804) 789-9564
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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