Gillespie, Corliss

Gillespie, Corliss is an sole proprietor health care provider with primary practice located at 12531 Clipper Dr , Woodbridge VA 22192-2355. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Gillespie, Corliss can be contacted via phone (571) 402-2509.

Contact Information

Primary practice address
12531 Clipper Dr Woodbridge VA 22192-2355
Phone: (571) 402-2509
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC004645 Georgia

Profile Details

NPI number 1881724367
LBN Legal business name Gillespie, Corliss
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2007
Last updated Sep 27th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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