Individual
MR. GAVIN MEEKS O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4001 PRINCE WILLIAM PKWY STE 300, WOODBRIDGE, VA 22192-7667
(833) 356-4080
Mailing address
4001 PRINCE WILLIAM PKWY STE 300, WOODBRIDGE, VA 22192-7667
(833) 356-4080
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
0903002988
VA
Other
Enumeration date
03/26/2019
Last updated
04/29/2020
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