Individual
STEPHANIE GASKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMHP-S
Contact information
Practice address
301 KARL LINN DR APT 406, NORTH CHESTERFIELD, VA 23225-6975
(703) 474-0467
Mailing address
301 KARL LINN DR APT 406, NORTH CHESTERFIELD, VA 23225-6975
(703) 474-0467
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A62752145
DRIVER'S LICENSE
VA
Enumeration date
02/16/2022
Last updated
02/16/2022
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