Individual
GILLIAN CLISSOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11804 COLVIN LN, NOKESVILLE, VA 20181-2346
(703) 675-5361
Mailing address
11804 COLVIN LN, NOKESVILLE, VA 20181-2346
(703) 675-5361
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006150
VA
Other
Enumeration date
05/30/2015
Last updated
05/30/2015
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