person
Gibson Edward Mazurkiewicz, LPC
Mental Health Counselor in Leesburg, Virginia
NPI 1154016400

Gibson Edward Mazurkiewicz is a Mental Health Counselor based in Leesburg, VA and is specialized in Mental Health. Gibson Edward Mazurkiewicz practices in Leesburg, VA and has the professional credentials of LPC. The NPI Number for Gibson Edward Mazurkiewicz is 1154016400 and holds a License No. 0701010243 (Virginia).

The current practice location address for Gibson Edward Mazurkiewicz is 26 Fairfax St Se Ste 206, Leesburg, VA and can be reached out via phone at 571-224-7954 and via fax at 703-779-8626.

Location: 26 Fairfax St Se Ste 206, Leesburg, VA, 20175-3621
person
Provider Profile Details
NPI Number
1154016400
Provider Name
Gibson Edward Mazurkiewicz
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
26 Fairfax St Se Ste 206, Leesburg, VA, 20175-3621
Phone Number
571-224-7954
Fax Number
703-779-8626
Provider Enumeration Date
04/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
26 Fairfax St Se Ste 206
City
State
Zip
20175-3621
Phone Number
571-224-7954
Fax Number
703-779-8626
person
Provider Business Mailing Address Details
Address
26 Fairfax St Se Ste 206
City
State
Zip
20175-3621
Phone Number
571-224-7954
Fax Number
703-779-8626
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0701010243 (Virginia)
Definition
Definition to come...
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