Individual
MANDY LYNN GADDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
913 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3198
(757) 288-0442
Mailing address
540 CONSERVANCY WAY APT 105, CHESAPEAKE, VA 23323-1334
(757) 288-0442
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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