Provider Demographics
NPI:1942864970
Name:PASCUAL, GABRIELLE B (MA, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:B
Last Name:PASCUAL
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7025 HARBOUR VIEW BLVD STE 119
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-2762
Mailing Address - Country:US
Mailing Address - Phone:757-966-2805
Mailing Address - Fax:757-673-2586
Practice Address - Street 1:7025 HARBOR VIEW BLVD STE 119
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-2762
Practice Address - Country:US
Practice Address - Phone:757-966-2805
Practice Address - Fax:757-673-2586
Is Sole Proprietor?:No
Enumeration Date:2019-04-25
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008288101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional