Individual
CASEY GRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16596 CHESTNUT OVERLOOK DR, PURCELLVILLE, VA 20132-2869
(703) 728-3879
Mailing address
16596 CHESTNUT OVERLOOK DR, PURCELLVILLE, VA 20132-2869
(703) 728-3879
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704015079
VA
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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