Individual provider · Type 1 NPI

George Mastick, MED

Mental Health Counselor · Leesburg, VA

NPI number 1508976952 Active

Practice location

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

Mailing address

111 Fort Evans Rd SE Apt B
Leesburg, VA 20175-4126

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1508976952

George Mastick, MED's National Provider Identifier is 1508976952, issued on Aug 30, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Leesburg, VA. The record was last updated on Jul 8, 2007.