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Individual

MR. GREGORY B MARCELLE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.ED., LPC, CAADC

Contact information

Practice address
5927 BELSTON CT, NORTH CHESTERFIELD, VA 23234-3214
(631) 805-3257
Mailing address
5927 BELSTON CT, NORTH CHESTERFIELD, VA 23234-3214
(631) 805-3257

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2106
VA
101YP2500X
Professional Counselor
Primary
0701008785
VA

Other

Enumeration date
11/14/2019
Last updated
11/14/2019
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