Individual
JANINE GILREATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
8 WATERMILL CT, STAFFORD, VA 22554-7914
(401) 474-6954
Mailing address
8 WATERMILL CT, STAFFORD, VA 22554-7914
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC10685
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNKNOWN
UNKNOWN
MD
Enumeration date
08/25/2020
Last updated
08/25/2020
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