Organization
NOVA CLINICAL COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE GORDEN (CLINICAL DIRECTOR)
(703) 682-8215
Entity
Organization
Contact information
Practice address
14689 LEE HWY # 645, GAINESVILLE, VA 20155-2110
(703) 682-8215
Mailing address
PO BOX 645, GAINESVILLE, VA 20156-0645
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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