Individual
GEORGE MASTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED
Contact information
Practice address
102 HERITAGE WAY NE STE 302, LEESBURG, VA 20176-4544
(703) 771-5100
Mailing address
111 FORT EVANS RD SE APT B, LEESBURG, VA 20175-4126
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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