Individual
NICOLE RENEE GARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7800
Mailing address
12124 GARDEN RIDGE LN UNIT 201, FAIRFAX, VA 22030-9026
(517) 937-6997
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004662
VA
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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