Provider Demographics
NPI:1558485649
Name:SANTARELLI, GAIL E (LPC, LSATP, NCC)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:E
Last Name:SANTARELLI
Suffix:
Gender:F
Credentials:LPC, LSATP, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10049 MIDLOTHIAN TPKE
Mailing Address - Street 2:SUITE B2
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-4859
Mailing Address - Country:US
Mailing Address - Phone:804-320-7813
Mailing Address - Fax:804-323-0602
Practice Address - Street 1:10049 MIDLOTHIAN TPKE
Practice Address - Street 2:SUITE B2
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-4859
Practice Address - Country:US
Practice Address - Phone:804-320-7813
Practice Address - Fax:804-323-0602
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0718000135101YA0400X
VA0701002705101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)