Provider Demographics
NPI:1548779358
Name:GASPERINI, JOSEPH HUGH (LPC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:HUGH
Last Name:GASPERINI
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 PARADISE LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH BOSTON
Mailing Address - State:VA
Mailing Address - Zip Code:24592-3243
Mailing Address - Country:US
Mailing Address - Phone:434-572-4544
Mailing Address - Fax:434-321-5140
Practice Address - Street 1:220 PARADISE LN
Practice Address - Street 2:
Practice Address - City:SOUTH BOSTON
Practice Address - State:VA
Practice Address - Zip Code:24592-3243
Practice Address - Country:US
Practice Address - Phone:434-572-4544
Practice Address - Fax:434-321-5140
Is Sole Proprietor?:No
Enumeration Date:2017-09-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional