Individual
GREGORY PELLETIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20501, GAITHERSBURG, MD 20886-2088
(240) 998-9536
Mailing address
PO BOX 2801, MONTGOMERY VILLAGE, MD 20886-2801
(240) 998-9536
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC11221
—
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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