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Individual

MAEVON ELLIOT GUMBLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X
Credential
MMT, MT-BC, LPC

Contact information

Practice address
2045 S PLEASANT VALLEY RD # 1075, WINCHESTER, VA 22601-7001
(412) 223-7067
Mailing address
2045 S PLEASANT VALLEY RD # 1075, WINCHESTER, VA 22601-7001
(412) 223-7067

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PCO16736
PA
225A00000X
Music Therapist
12781
225A00000X
Music Therapist
MUS.000041
CT

Other

Enumeration date
07/15/2020
Last updated
03/18/2026
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