Individual
VIRGINIA BRIDGES GAULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, ATR
Contact information
Practice address
209 PENDLETON RD STE C, CLEMSON, SC 29631
(864) 982-0694
Mailing address
211 KEESE ST, PENDLETON, SC 29670-1255
(864) 982-0694
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6744
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A11218
LICENSE
NC
Enumeration date
12/12/2014
Last updated
06/15/2018
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