Organization
WISE MIND COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE DANA BOTTOMS LPC (OWNER)
(571) 412-1912
Entity
Organization
Contact information
Practice address
1500 LAKEVIEW PKWY, LOCUST GROVE, VA 22508-5318
(571) 412-1912
Mailing address
1500 LAKEVIEW PKWY, LOCUST GROVE, VA 22508-5318
(571) 412-1912
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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