Individual
ISABELLA O'SHEA GOINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-R
Contact information
Practice address
3919 BLENHEIM BLVD, FAIRFAX, VA 22030-2430
(703) 539-2392
Mailing address
1930 VISIONARY WAY APT 401, RESTON, VA 20190-5524
(703) 945-4248
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704017576
VA
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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