Organization
SUSAN GENTZ GILLESPIE, LMFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN GENTZ GILLESPIE LMFT (PROPRIETOR)
(415) 609-8205
Entity
Organization
Contact information
Practice address
1250 CONNECTICUT AVE NW, SUITE 200, WASHINGTON, DC 20036-2603
(415) 609-8205
Mailing address
1250 CONNECTICUT AVE NW, SUITE 200, WASHINGTON, DC 20036-2603
(415) 609-8205
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LMFT000140
DC
251S00000X
Community/Behavioral Health Agency
MFT 38572
CA
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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