| Gemmasohn Psychotherapy Service, Llc | |
|
312 Owaissa Rd Se Vienna VA 22180-5929 | |
| (703) 597-9334 | |
| Not Available |
| Full Name | Gemmasohn Psychotherapy Service, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 312 Owaissa Rd Se, Vienna, Virginia |
| Authorized Official Name and Position | Gemma Imsook Sohn (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7035979334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gemmasohn Psychotherapy Service, Llc 312 Owaissa Rd Se Vienna VA 22180-5929 Ph: (703) 597-9334 | Gemmasohn Psychotherapy Service, Llc 312 Owaissa Rd Se Vienna VA 22180-5929 Ph: (703) 597-9334 |
| NPI Number | 1811582109 |
|---|---|
| Provider Enumeration Date | 03/08/2021 |
| Last Update Date | 09/25/2023 |
| Certification Date | 09/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811582109 | NPI | - | NPPES |
| 904003545 | Other | VA | LCSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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