Individual
MS. DAWN RUSS GINGRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C., L.M.H.C.
Contact information
Practice address
20925 PROFESSIONAL PLZ, SUITE 230, ASHBURN, VA 20147-3403
(703) 858-7838
Mailing address
20925 PROFESSIONAL PLZ, SUITE 230, ASHBURN, VA 20147-3403
(703) 858-7838
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LMHC8188
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC # 0701004473
VA
101YM0800X
Mental Health Counselor
LMHC8188
FL
101YM0800X
Mental Health Counselor
Primary
LPC # 0701004473
VA
101YP2500X
Professional Counselor
LPC # 0701004473
VA
Other
Enumeration date
01/27/2009
Last updated
01/27/2009
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