Individual
GAYE BERKSHIRE MARSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11120 GORDON RD, FREDERICKSBURG, VA 22407-1713
(540) 760-1312
Mailing address
4120 GLOUSTER LN, FREDERICKSBURG, VA 22408-5512
(540) 760-1312
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701002068
VA
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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