Individual
MARIA FLACCAVENTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
103 S HILL DR STE A, BLACKSBURG, VA 24060-5709
(540) 516-3043
(540) 779-7724
Mailing address
103 S HILL DR STE A, BLACKSBURG, VA 24060-5709
(540) 516-3043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701013744
VA
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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