Individual
MS. CAROLINE JOYCE CSONGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13575 HEATHCOTE BLVD STE 201, GAINESVILLE, VA 20155-6660
(703) 289-7560
(703) 289-8710
Mailing address
13575 HEATHCOTE BLVD STE 201, GAINESVILLE, VA 20155-6660
(703) 289-7560
(703) 289-8710
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004862
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904004862
CLINICAL LICENSE
VA
Enumeration date
09/26/2006
Last updated
12/12/2019
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