Provider Demographics
NPI:1720293244
Name:THOMPSON, GAIL L (LPC)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:L
Last Name:THOMPSON
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 1:2841 WINDSOR DR APT 301
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-2861
Mailing Address - Country:US
Mailing Address - Phone:703-307-3385
Mailing Address - Fax:703-356-4107
Practice Address - Street 1:850 BALLS HILL RD
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-1546
Practice Address - Country:US
Practice Address - Phone:703-307-3385
Practice Address - Fax:703-356-4107
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003021101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health