| Renew Counseling And Services | |
|
14540 John Marshall Highway Gainesville VA 20155 | |
| (703) 831-3221 | |
| Not Available |
| Full Name | Renew Counseling And Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14540 John Marshall Highway, Gainesville, Virginia |
| Authorized Official Name and Position | Shaakira Simmonds (THERAPIST) |
| Authorized Official Contact | 9544452499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Counseling And Services 14540 John Marshall Hwy Gainesville VA 20155-1691 Ph: () - | Renew Counseling And Services 14540 John Marshall Highway Gainesville VA 20155 Ph: (703) 831-3221 |
| NPI Number | 1982118618 |
|---|---|
| Provider Enumeration Date | 11/16/2017 |
| Last Update Date | 08/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982118618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904008864 (Virginia) | Primary |
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