Individual
ELIZA GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
8227 OLD COURTHOUSE RD STE 215, VIENNA, VA 22182-3815
(703) 783-4315
Mailing address
5714 4TH ST N, ARLINGTON, VA 22205-1004
(804) 332-0256
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704007238
VA
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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