Individual provider · Type 1 NPI

Amanda Elizabeth Gushard-Edwards, LCSW

Mental Health Counselor · Leesburg, VA

NPI number 1174027221 Active

Practice location

102 Heritage Way NE Ste 302
Leesburg, VA 20176-4544

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X0904013334 (VA)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1174027221

Amanda Elizabeth Gushard-Edwards, LCSW's National Provider Identifier is 1174027221, issued on Mar 22, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Leesburg, VA. The record was last updated on Dec 7, 2021.