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:
Health care specialties
| Specialty | Code | License # | 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 6 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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