Individual
HEATHER ROBIN EDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
7051 HEATHCOTE VILLAGE WAY STE 115, GAINESVILLE, VA 20155-3197
(804) 207-6737
Mailing address
7051 HEATHCOTE VILLAGE WAY STE 115, GAINESVILLE, VA 20155-3197
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0906011335
VA
101YP2500X
Professional Counselor
0906011335
VA
1041C0700X
Clinical Social Worker
Primary
0906011335
VA
Other
Enumeration date
08/14/2023
Last updated
08/30/2023
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