Individual
MRS. BENTLEY GEARHART DORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAED, LPC
Contact information
Practice address
1483 CHAIN BRIDGE RD STE 301, MC LEAN, VA 22101-5703
(540) 529-5379
(703) 356-0633
Mailing address
4793 MAURINE CT, GAINESVILLE, VA 20155-1203
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007003
VA
Other
Enumeration date
11/05/2017
Last updated
11/05/2017
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