Individual
MS. SHERRI LEE GILLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT, CSAC
Contact information
Practice address
14150 PARKEAST CIR, SUITE 200, CHANTILLY, VA 20151-2295
(703) 968-4051
Mailing address
12705 KETTERING DR, HERNDON, VA 20171-2448
(703) 476-8158
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701002589
VA
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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