Gushurst, Marian
Gushurst, Marian is an individual health care provider with primary practice located at 1011 Clearview Ave , Fredericksburg VA 22405-1919. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gushurst, Marian can be contacted via phone (540) 371-3940.Contact Information
Primary practice address
1011 Clearview Ave
Fredericksburg VA 22405-1919
Phone: (540) 371-3940
Fax: (540) 373-0464
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701000907 | Virginia |
Profile Details
| NPI number | 1639122278 |
|---|---|
| LBN Legal business name | Gushurst, Marian |
| Credentials | MA, LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639122278 | NPPES |
| Other | IP162615 | MAGELLAN BEHAVIORAL HEALT | |
| Other | 338193 | MAGELLAN BEHAVIORAL HEALT | |
| Other | 4395896 | MAGELLAN BEHAVIORAL HEALT | |
| Other | 085359 | MAGELLAN BEHAVIORAL HEALT | |
| Other | 054089 | MAGELLAN BEHAVIORAL HEALT |
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