Individual
MAIKE NOLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3950 CHAIN BRIDGE RD STE 10, FAIRFAX, VA 22030-3935
(724) 401-1296
Mailing address
9179 FUREY RD, LORTON, VA 22079-2967
(703) 655-9140
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PRC15014
DC
Other
Enumeration date
03/10/2018
Last updated
09/11/2025
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