Individual
MARIAN GUSHURST
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1011 CLEARVIEW AVE, FREDERICKSBURG, VA 22405-1919
(540) 371-3940
(540) 373-0464
Mailing address
1011 CLEARVIEW AVE, FREDERICKSBURG, VA 22405-1919
(540) 371-3940
(540) 373-0464
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701000907
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054089
ANTHEM BCBS
VA
01
—
085359
SENTAR MENTAL HEALTH SERV
VA
01
—
338193
VALUE OPTIONS
—
01
—
4395896
AETNA
—
01
—
IP162615
MAGELLAN BEHAVIORAL HEALT
—
Enumeration date
05/17/2006
Last updated
07/08/2007
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