# GEMMASOHN PSYCHOTHERAPY SERVICE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811582109
- **Authorized official:** DR. GEMMA IMSOOK SOHN PHD, LCSW, CSAC (PSYCHOTHERAPIST)
- **Authorized official phone:** (703) 597-9334

## Contact information

- **Practice address:** 312 OWAISSA RD SE, VIENNA, VA 22180-5929
- **Practice address phone:** (703) 597-9334
- **Mailing address:** 312 OWAISSA RD SE, VIENNA, VA 22180-5929
- **Mailing address phone:** (703) 597-9334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2021
- **Last updated:** 09/25/2023