Organization
GEMMASOHN PSYCHOTHERAPY SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEMMA IMSOOK SOHN PHD, LCSW, CSAC (PSYCHOTHERAPIST)
(703) 597-9334
Entity
Organization
Contact information
Practice address
312 OWAISSA RD SE, VIENNA, VA 22180-5929
(703) 597-9334
Mailing address
312 OWAISSA RD SE, VIENNA, VA 22180-5929
(703) 597-9334
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
904003545
LCSW
VA
Enumeration date
03/08/2021
Last updated
09/25/2023
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