Individual
GARY SCHWANKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5249 DUKE ST, SUITE #200, ALEXANDRIA, VA 22304-2926
(863) 232-6489
Mailing address
5249 DUKE ST, SUITE #200, ALEXANDRIA, VA 22304-2926
(863) 232-6489
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006380
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701006380
LICENSE NUMBER
VA
Enumeration date
11/09/2015
Last updated
11/09/2015
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