Individual
MR. EDWARD GAHAM CANADA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4191 INNSLAKE DR STE 211, GLEN ALLEN, VA 23060-3324
(804) 303-9622
Mailing address
4191 INNSLAKE DR STE 211, GLEN ALLEN, VA 23060-3324
(804) 303-9622
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701007956
VA
Other
Enumeration date
10/17/2018
Last updated
09/05/2024
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