Individual provider · Type 1 NPI

Gibson E. Mazurkiewicz, LPC

Mental Health Counselor · Leesburg, VA

NPI number 1154016400 Active

Practice location

602 South King St, Suite 202
Leesburg, VA 20175

Call (571) 224-7954 Map

Fax (703) 485-3559

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0701010243 (VA)

Mental Health Counselor: Definition to come...

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About NPI 1154016400

Gibson E. Mazurkiewicz, LPC's National Provider Identifier is 1154016400, issued on Apr 11, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Leesburg, VA. The record was last updated on Aug 27, 2025.