Individual
MS. SUSAN GENTZ GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
4915 SAINT ELMO AVE STE 504, BETHESDA, MD 20814-6019
(415) 609-8205
Mailing address
10912 ORLEANS WAY, KENSINGTON, MD 20895-1112
(415) 609-8205
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000140
DC
101YM0800X
Mental Health Counselor
LCM881
MD
101YM0800X
Mental Health Counselor
MFC 38572
CA
Other
Enumeration date
04/29/2011
Last updated
02/18/2025
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