person
Lisa Davis Gore, LCSW
Counselor in Fairfax, Virginia
NPI 1831825421

Lisa Davis Gore is a Counselor based in Fairfax, VA. Lisa Davis Gore practices in Fairfax, VA and has the professional credentials of LCSW. The NPI Number for Lisa Davis Gore is 1831825421 and holds a License No. 0904003629 (Virginia).

The current practice location address for Lisa Davis Gore is 3913 Madison Mews, Fairfax, VA and can be reached out via phone at 703-966-9492. You can also correspond with Lisa Davis Gore through the mailing address at 3913 MADISON MEWS, FAIRFAX, VA - 22030-2597 (mailing address contact number: 703-966-9492).

Location: 3913 Madison Mews, Fairfax, VA, 22030-2597
person
Provider Profile Details
NPI Number
1831825421
Provider Name
Lisa Davis Gore
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
3913 Madison Mews, Fairfax, VA, 22030-2597
Phone Number
703-966-9492
Fax Number
Provider Enumeration Date
07/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3913 Madison Mews
City
State
Zip
22030-2597
Phone Number
703-966-9492
Fax Number
person
Provider Business Mailing Address Details
Address
3913 Madison Mews
City
State
Zip
22030-2597
Phone Number
703-966-9492
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
0904003629 (Virginia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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