| Gavin Connor, L.p.c. | |
|
700 Harris St Ste 106 Charlottesville VA 22903-4584 | |
| (434) 249-0230 | |
| Not Available |
| Full Name | Gavin Connor, L.p.c. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 700 Harris St Ste 106, Charlottesville, Virginia |
| Authorized Official Name and Position | Gavin Connor (SOLE PROPRIETOR) |
| Authorized Official Contact | 4342490230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gavin Connor, L.p.c. 700 Harris St Ste 106 Charlottesville VA 22903-4584 Ph: (434) 249-0230 | Gavin Connor, L.p.c. 700 Harris St Ste 106 Charlottesville VA 22903-4584 Ph: (434) 249-0230 |
| NPI Number | 1013391564 |
|---|---|
| Provider Enumeration Date | 07/15/2015 |
| Last Update Date | 07/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013391564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0701005444 (Virginia) | Primary |
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