Individual
ELIZABETH S. GILLMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0717000328
VA
101YP2500X
Professional Counselor
0701001023
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023943
ANTHEM
VA
01
—
034899
VALUE
VA
01
—
436546
ANTHEM HEALTHKEEPERS
VA
Enumeration date
08/28/2006
Last updated
09/11/2025
Update your record
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