Individual
MR. WILLIS H GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Contact information
Practice address
305 HANSON AVE, SUITE170, FREDERICKSBURG, VA 22401-3126
(540) 361-4330
(540) 361-4331
Mailing address
305 HANSON AVE, SUITE 170, FREDERICKSBURG, VA 22401-3126
(540) 361-4330
(540) 361-4331
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701001766
VA
106H00000X
Marriage & Family Therapist
Primary
0717000031
VA
Other
Enumeration date
03/08/2006
Last updated
01/12/2015
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