Individual provider · Type 1 NPI
Marisa Gentile
Professional Counselor · Fairfax, VA
NPI number
1124724638
Active
Practice location
8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 0701011929 (VA) |
Professional Counselor: Definition to come...
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About NPI 1124724638
Marisa Gentile's National Provider Identifier is 1124724638, issued on Feb 6, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairfax, VA. The record was last updated on Jun 30, 2023.