Individual
MEGAN ELAINE GASINK HAYWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3912 ELECTRIC RD BLDG C, ROANOKE, VA 24018-4513
(540) 776-0716
Mailing address
5120 PIN OAK DR, ROANOKE, VA 24019-2512
(540) 797-7710
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701008328
VA
101YP2500X
Professional Counselor
Primary
0701008328
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701008328
LPC LICENCSE #
VA
Enumeration date
08/20/2019
Last updated
09/30/2023
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