Individual
MRS. GJAUDY N JOHN-WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5105Q BACKLICK RD, ANNANDALE, VA 22003-6072
(703) 997-2737
Mailing address
5105Q BACKLICK RD, ANNANDALE, VA 22003-6072
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
070416920
VA
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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