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Individual

MR. GIBSON E MAZURKIEWICZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
602 SOUTH KING ST, SUITE 202, LEESBURG, VA 20175
(571) 224-7954
(703) 485-3559
Mailing address
602 SOUTH KING ST, SUITE 202, LEESBURG, VA 20175
(571) 224-7954
(703) 485-3559

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701010243
VA

Other

Enumeration date
04/11/2023
Last updated
08/27/2025
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