Provider Demographics
NPI:1285230706
Name:BINDER, GINA STROUD (LPC)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:STROUD
Last Name:BINDER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9300 FOREST POINT CIR STE 166
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-4766
Mailing Address - Country:US
Mailing Address - Phone:571-494-1391
Mailing Address - Fax:
Practice Address - Street 1:9300 FOREST POINT CIR STE 166
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4766
Practice Address - Country:US
Practice Address - Phone:571-494-1391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007158101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional