Provider Demographics
NPI:1184280927
Name:HAHN, GELSOMINA CERES (LPC)
Entity type:Individual
Prefix:
First Name:GELSOMINA
Middle Name:CERES
Last Name:HAHN
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 1:2243 COLBY DR
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-1790
Mailing Address - Country:US
Mailing Address - Phone:615-319-1720
Mailing Address - Fax:
Practice Address - Street 1:2243 COLBY DR
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-1790
Practice Address - Country:US
Practice Address - Phone:615-319-1720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-16
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008330101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional