Individual
CARISSA CHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
7350 HERITAGE VILLAGE PLZ UNIT 102, GAINESVILLE, VA 20155-3085
(571) 295-5313
Mailing address
6922 NETHERSTONE CT, GAINESVILLE, VA 20155-3021
(703) 999-2960
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001405
VA
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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