Holbrook, Gay Alesia

Holbrook, Gay Alesia is an sole proprietor health care provider with primary practice located at 228 Trump Dr , Marion VA 24354-6480. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Holbrook, Gay Alesia can be contacted via phone (276) 685-3108.

Contact Information

Primary practice address
228 Trump Dr Marion VA 24354-6480
Phone: (276) 685-3108
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701005393 Virginia

Profile Details

NPI number 1396084026
LBN Legal business name Holbrook, Gay Alesia
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2013
Last updated Jun 25th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396084026 NPPES
Virginia MEDICAID 1255365599

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