Individual
GEORGIE WHATMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
128 E ROSEMONT AVE, ALEXANDRIA, VA 22301-2326
(305) 775-0733
Mailing address
112 S PITT ST, ALEXANDRIA, VA 22314-3112
(305) 775-0733
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
418662084
AMERICAN COUNSELING ASSOCIATION (ACA) LIABILITY INSURANCE POLICY NUMBER
—
01
—
6535577
AMERICAN COUNSELING ASSOCIATION MEMBER ID
—
Enumeration date
04/18/2021
Last updated
04/18/2021
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