Individual provider · Type 1 NPI

Dawn Russ Gingras, L.P.C., L.M.H.C.

Mental Health Counselor · Ashburn, VA

NPI number 1851539951 Active

Practice location

20925 Professional Plz, Suite 230
Ashburn, VA 20147-3403

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLPC # 0701004473 (VA)
Addiction (Substance Use Disorder) Counselor 101YA0400XLMHC8188 (FL)
Mental Health Counselor 101YM0800XLMHC8188 (FL)
Mental Health Counselor Primary 101YM0800XLPC # 0701004473 (VA)
Professional Counselor 101YP2500XLPC # 0701004473 (VA)

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About NPI 1851539951

Dawn Russ Gingras, L.P.C., L.M.H.C.'s National Provider Identifier is 1851539951, issued on Jan 27, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ashburn, VA. The record was last updated on Jan 27, 2009.