Individual provider · Type 1 NPI

Jillian Elizabeth Gorman, LPC, LSATP, CSAC

Professional Counselor · Fairfax, VA

NPI number 1659032399 Active

Practice location

8280 Willow Oaks Corporate Dr Ste 600
Fairfax, VA 22031-4516

Fax (415) 520-6633

Mailing address

8300 Esters Blvd Ste 900
Irving, TX 75063-2233

Other practice locations

  • 9388 Branch Lane, Nassawadox, VA 23413-0759 · (757) 709-1437
  • 600 Medical Dr Ste A&b, Hampton, VA 23666-1769 · (402) 431-2596
  • 5018 Nicholas St, Omaha, NE 68132-1432 · (757) 709-1437
  • 6478 Belroi Rd, Gloucester, VA 23061-3836 · (757) 709-1437

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X0710103769 (VA)
Mental Health Counselor 101YM0800X12841 (NE)
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X0718000616 (VA)
Professional Counselor Primary 101YP2500X0701012663 (VA)
Addiction (Substance Use Disorder) Counselor 101YA0400X1477 (NE)
Mental Health Counselor 101YM0800X0701012663 (VA)

Professional Counselor: Definition to come...

78 other providers at this address

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About NPI 1659032399

Jillian Elizabeth Gorman, LPC, LSATP, CSAC's National Provider Identifier is 1659032399, issued on Jan 5, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairfax, VA. The record was last updated on Jan 3, 2025.