Individual
VIRGINIA ROXANN NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 NICHOLAS DR LOT E21, CLIFTON FORGE, VA 24422-1919
(571) 268-6751
(833) 788-0610
Mailing address
100 NICHOLAS DR LOT E21, CLIFTON FORGE, VA 24422-1919
(571) 268-6751
(833) 788-0610
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
60672422
WA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
07010109000
VA
Other
Enumeration date
06/18/2015
Last updated
01/19/2022
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