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Individual

MS. GAIL E GARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LFMT,LPC

Contact information

Practice address
102 HERITAGE WAY NE, LEESBURG, VA 20176-4544
(703) 737-8977
Mailing address
102 HERITAGE WAY NE, LEESBURG, VA 20176-4544
(703) 737-8977

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701001980
VA
106H00000X
Marriage & Family Therapist
071700327
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004945336
VA
01
088409
SENTARA
VA
01
214249
ANTHEM
VA
Enumeration date
07/21/2006
Last updated
12/18/2012
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