Individual
DOUGLAS DANA GONCZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPS
Contact information
Practice address
3041 PATRICK HENRY DR 2, THE 4 BUTTON IS STICKY, SEVEN CORNERS, VA 22044-2536
(703) 534-0870
(571) 395-3575
Mailing address
PO BOX 4394, SEVEN CORNERS, VA 22044-0394
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
—
—
225600000X
Dance Therapist
—
—
225700000X
Massage Therapist
—
—
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
—
—
Other
Enumeration date
07/02/2008
Last updated
04/07/2025
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