Individual
KELLEY GILBERT DAUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42009 VICTORY LN, LEESBURG, VA 20176-6269
(703) 554-6336
Mailing address
5007 KING DAVID BLVD, ANNANDALE, VA 22003-4034
(619) 876-8378
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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