Individual
MISS STEFANIE N GWALTNEY-HAUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
712 W BROAD ST STE 8, FALLS CHURCH, VA 22046-3222
(703) 501-2355
Mailing address
712 W BROAD ST STE 8, FALLS CHURCH, VA 22046-3222
(703) 501-2355
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701003678
VA
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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