| Mr Jonathan Mc Oliver, LPC | |
|
13434 Nascoby Ln, Woodbridge, VA 22193-4103 | |
| (703) 314-7925 | |
| Not Available |
| Full Name | Mr Jonathan Mc Oliver |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 6 Years |
| Location | 13434 Nascoby Ln, Woodbridge, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689551442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0701015275 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Woodbridge Therapy Group Llc | 0840547824 | 7 |
| Entity Name | Woodbridge Therapy Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427421627 PECOS PAC ID: 0840547824 Enrollment ID: O20180723000288 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jonathan Mc Oliver, LPC 13434 Nascoby Ln, Woodbridge, VA 22193-4103 Ph: (703) 314-7925 | Mr Jonathan Mc Oliver, LPC 13434 Nascoby Ln, Woodbridge, VA 22193-4103 Ph: (703) 314-7925 |
Addie Mae Brown, LPC, LMFT, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13000 Harbor Center Dr Ste 352, Woodbridge, VA 22192 Phone: 703-270-1017 |
Elizabeth Sue Wyman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4899 Prince William Pkwy, Woodbridge, VA 22192 Phone: 833-510-4357 |
Mr. Dekiegai Eleazer Reeves, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14786 Barksdale St, Woodbridge, VA 22193 Phone: 703-864-4561 |
Caitlin Lisee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13000 Harbor Center Dr Ste 301, Woodbridge, VA 22192 Phone: 703-492-2994 |
Mr. Michael Howard Borash, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1388 Old Bridge Rd, Woodbridge, VA 22192 Phone: 800-799-1212 Fax: 703-492-7768 |
Abigail Elizabeth Salazar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14938 Fruit Tree Ct, Woodbridge, VA 22193 Phone: 520-313-6440 |
Labrae' Shauntell Hazelwood, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1434 Deerfield Ln, Woodbridge, VA 22191 Phone: 804-496-0864 |