Organization · Type 2 NPI

Corliss Gillespie, LLC

Professional Counselor · Woodbridge, VA

NPI number 1912464140 Active

Practice location

12531 Clipper Dr
Woodbridge, VA 22192-2355

Call (571) 402-2509 Map

Mailing address

PO Box 4090
Woodbridge, VA 22194-4090

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1912464140

Corliss Gillespie, LLC's National Provider Identifier is 1912464140, issued on Feb 24, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Woodbridge, VA. The record was last updated on Feb 24, 2019.