| Sage Community Counseling Llc | |
|
2239b Tacketts Mill Dr Woodbridge VA 22192-3026 | |
| (703) 508-3565 | |
| (866) 377-6092 |
| Full Name | Sage Community Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2239b Tacketts Mill Dr, Woodbridge, Virginia |
| Authorized Official Name and Position | Paula Jean Flynn (PRINCIPLE) |
| Authorized Official Contact | 7035083565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Community Counseling Llc 478 Harbor Side St Woodbridge VA 22191-5470 Ph: (703) 508-3565 | Sage Community Counseling Llc 2239b Tacketts Mill Dr Woodbridge VA 22192-3026 Ph: (703) 508-3565 |
| NPI Number | 1003315391 |
|---|---|
| Provider Enumeration Date | 02/02/2018 |
| Last Update Date | 02/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003315391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904007725 (Virginia) | Primary |
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