Individual provider · Type 1 NPI
Gail Leslie Grandela, LPC, CCM
Professional Counselor · Fairfax, VA
NPI number
1750692307
Active
Practice location
3020 Javier Rd
Fairfax, VA 22031-4609
Mailing address
30 Morningmist Dr
Fredericksburg, VA 22406-7275
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 0701003293 (VA) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1750692307
Gail Leslie Grandela, LPC, CCM's National Provider Identifier is 1750692307, issued on Jun 29, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairfax, VA. The record was last updated on Nov 20, 2013.