| Gateway Counseling Center | |
|
5506 Payne Dr King George VA 22485-6213 | |
| (540) 663-0574 | |
| (540) 663-0576 |
| Full Name | Gateway Counseling Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5506 Payne Dr, King George, Virginia |
| Authorized Official Name and Position | Kathleen Fitzsimmons (PRESIDENT) |
| Authorized Official Contact | 5406630574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Counseling Center Po Box 149 Dahlgren VA 22448-0149 Ph: (540) 663-0574 | Gateway Counseling Center 5506 Payne Dr King George VA 22485-6213 Ph: (540) 663-0574 |
| NPI Number | 1952659989 |
|---|---|
| Provider Enumeration Date | 08/23/2012 |
| Last Update Date | 08/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952659989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701003741 (Virginia) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0101050361 (Virginia) | Secondary |
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