Individual
GILLIAN ST. AMOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RIC
Contact information
Practice address
1005 SOPHIA ST STE 200, FREDERICKSBURG, VA 22401-3809
(540) 445-1803
(540) 318-1483
Mailing address
1005 SOPHIA ST STE 200, FREDERICKSBURG, VA 22401-3809
(540) 445-1803
(540) 318-1483
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0709025506
VA
101YM0800X
Mental Health Counselor
Primary
0704017038
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0704017038
LICENSED RESIDENT IN COUNSELING
VA
01
—
0709025506
CSAC SUPERVISEE
VA
Enumeration date
08/07/2024
Last updated
10/22/2025
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