Nichole Dixon Wray, LPC | |
7969 Ashton Ave, Manassas, VA 20109-2885 | |
(703) 792-7800 | |
(703) 792-5699 |
Full Name | Nichole Dixon Wray |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 7969 Ashton Ave, Manassas, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932734993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701008335 (Virginia) | Primary |
Entity Name | Prince William County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053402800 PECOS PAC ID: 7113912973 Enrollment ID: O20040420000249 |
Mailing Address | Practice Location Address |
---|---|
Nichole Dixon Wray, LPC 10306 Bluebird Ct, Spotsylvania, VA 22553-7794 Ph: (757) 254-6201 | Nichole Dixon Wray, LPC 7969 Ashton Ave, Manassas, VA 20109-2885 Ph: (703) 792-7800 |
Ms. Christienne Morse Mcclure, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9254 Mosby St, Suite B, Manassas, VA 20110 Phone: 703-895-5208 Fax: 888-509-0859 | |
Ms. Elizabeth Trumble Strawderman, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 7969 Ashton Ave, Manassas, VA 20109 Phone: 703-792-7800 Fax: 703-792-5699 | |
John Lee Barnes Ii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7969 Ashton Ave, Manassas, VA 20109 Phone: 703-792-7800 Fax: 703-792-5699 | |
Mrs. Darlene D Roberson, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 12032 Bank Beaver Ct, Manassas, VA 20112 Phone: 703-791-3636 Fax: 866-844-4356 | |
Mrs. Amanda Criste, MA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10432 Balls Ford Road, Suite 300, Manassas, VA 20109 Phone: 571-383-0020 | |
Lisa Grossman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8802 Sudley Rd, Suite 112, Manassas, VA 20110 Phone: 703-393-7905 Fax: 703-393-9227 | |
Dr. Renee Monique Bullock, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 9720 Capital Ct Ste 303, Manassas, VA 20110 Phone: 703-881-0121 |