Provider Demographics
NPI:1376002337
Name:NOLDEN, MARIA A (LPC)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:A
Last Name:NOLDEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:ASUNCION
Other - Last Name:NOLDEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:1360 BEVERLY RD STE 200
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3647
Mailing Address - Country:US
Mailing Address - Phone:804-207-6737
Mailing Address - Fax:571-303-0708
Practice Address - Street 1:1360 BEVERLY RD STE 200
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3647
Practice Address - Country:US
Practice Address - Phone:804-207-6737
Practice Address - Fax:571-303-0708
Is Sole Proprietor?:No
Enumeration Date:2019-03-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701011480101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA30017639890001Medicaid