Individual
DR. GALE ELIZABETH VRTIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
681 HIOAKS RD, SUITE A, RICHMOND, VA 23225-4043
(804) 320-3626
Mailing address
14401 OLD BOND ST, CHESTERFIELD, VA 23832-4402
(804) 739-8221
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401010246
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401010246
MI
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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