Individual
MRS. ELAINE MARIE GULLOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
106 CAMERON STATION BLVD, ALEXANDRIA, VA 22304-7737
(571) 723-3219
Mailing address
106 CAMERON STATION BLVD, ALEXANDRIA, VA 22304-7737
(703) 566-0349
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/07/2009
Last updated
02/07/2009
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