Individual
ASHLEY VAN GELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, QMHCM
Contact information
Practice address
8221 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4512
(703) 559-3117
(703) 653-6692
Mailing address
8221 WILLOW OAKS CORPORATE DR STE 3-520E, FAIRFAX, VA 22031-4512
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010396
VA
Other
Enumeration date
04/10/2018
Last updated
04/06/2021
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