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Individual
MR. DAVID L MORTELLARO
Active
Individual
MR. DAVID L MORTELLARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701001496
VA
106H00000X
Marriage & Family Therapist
0717000603
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005400431
VIRGINIA PREMIER (HMO)
VA
05
—
005400431
—
VA
01
—
018061
VALUE OPTIONS
VA
01
—
087620
SOUTHERN HEALTH/SENTARA
VA
01
—
132303
MANAGED HEALTH NETWORK
VA
01
—
285978
ANTHEM BCBS
VA
01
—
297608000
MAGELLAN
VA
01
—
349980
MAMSI
VA
01
—
5675123
AETNA
VA
01
—
69554
CIGNA BEHAVIORAL HEALTH
VA
01
—
JOHN DEERE
VA0101
VA
Enumeration date
12/02/2005
Last updated
10/02/2008
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