Individual
MR. GARY LUPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT, LSATP
Contact information
Practice address
385 GARRISONVILLE RD., STAFFORD, VA 22554
(540) 657-1228
(540) 657-1999
Mailing address
11 GOOSE CREEK CIR, FREDERICKSBURG, VA 22406-8430
(703) 627-0225
(703) 657-1999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000106
VA
101YM0800X
Mental Health Counselor
0701002601
VA
106H00000X
Marriage & Family Therapist
Primary
0717000355
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54-0645-5
—
VA
Enumeration date
07/20/2006
Last updated
03/27/2019
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