Individual
EDNA GAYLE DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3014 COLVIN ST STE 1-A, ALEXANDRIA, VA 22314-4544
(703) 828-9054
(617) 807-0958
Mailing address
1000 JEFFERSON ST STE 2C, LYNCHBURG, VA 24504-1724
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009595
VA
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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