Axelson, Gary L

Axelson, Gary L is an sole proprietor health care provider with primary practice located at 8119 Holland Rd , Alexandria VA 22306-3135. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Axelson, Gary L can be contacted via phone (703) 799-2711.

Contact Information

Primary practice address
8119 Holland Rd Alexandria VA 22306-3135
Phone: (703) 799-2711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810001668 Virginia

Profile Details

NPI number 1215958426
LBN Legal business name Axelson, Gary L
Credentials LCP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers