| Aspen Valley Counseling Services Pllc | |
|
10432 Balls Ford Rd Ste 300 Manassas VA 20109-2517 | |
| (804) 603-0465 | |
| Not Available |
| Full Name | Aspen Valley Counseling Services Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10432 Balls Ford Rd Ste 300, Manassas, Virginia |
| Authorized Official Name and Position | Savanna Martin (OWNER/MANAGING MEMBER) |
| Authorized Official Contact | 6054903865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Valley Counseling Services Pllc 4393 Kevin Walker Dr # 1010 Montclair VA 22025-1636 Ph: (804) 603-0465 | Aspen Valley Counseling Services Pllc 10432 Balls Ford Rd Ste 300 Manassas VA 20109-2517 Ph: (804) 603-0465 |
| NPI Number | 1962169722 |
|---|---|
| Provider Enumeration Date | 11/29/2021 |
| Last Update Date | 03/23/2022 |
| Certification Date | 03/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962169722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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