Individual
ELLINA CREARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7520 GARDNER PARK DR, GAINESVILLE, VA 20155-3414
(571) 248-2358
Mailing address
410 S MAPLE AVE, APT303, FALLS CHURCH, VA 22046-4246
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701006656
VA
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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