Organization
EMERALD LEAF COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKI GOERDT LCSW (OWNER)
(703) 829-6350
Entity
Organization
Contact information
Practice address
5275 LEE HWY STE 104, ARLINGTON, VA 22207-1619
(703) 829-6350
Mailing address
2916 LAWRENCE DR, FALLS CHURCH, VA 22042-1405
(703) 829-6350
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
09/19/2019
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