Organization
JOHN-MIKE NELSON, PLLC
Active
Other names
Virginia Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN-MIKE NELSON LPC (THERAPIST)
(202) 630-1597
Entity
Organization
Contact information
Practice address
5240 LYNGATE CT, BURKE, VA 22015-1631
(202) 630-1597
(844) 687-2699
Mailing address
5240 LYNGATE CT, BURKE, VA 22015-1631
(202) 630-1597
(844) 687-2699
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000247
VA
101YP2500X
Professional Counselor
Primary
0701005173
VA
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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