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Organization
ASHBY GAP PSYCHIATRIC CENTER
Active
Organization
ASHBY GAP PSYCHIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK PAUL DE VILLIER MSW, LPC (CHIEF FINANCIAL OFFICER)
(843) 209-2067
Entity
Organization
Contact information
Practice address
119 THE PLAINS RD, SUITE 300, MIDDLEBURG, VA 20117
(540) 326-4536
Mailing address
PO BOX 915, MIDDLEBURG, VA 20118
(540) 326-4536
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
701004712
VA
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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