Provider Demographics
NPI:1720840655
Name:GILCHRIST, TONJESIA (LPC)
Entity Type:Individual
Prefix:
First Name:TONJESIA
Middle Name:
Last Name:GILCHRIST
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 1:295 WORTH AVE
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22556-1596
Mailing Address - Country:US
Mailing Address - Phone:910-489-0929
Mailing Address - Fax:
Practice Address - Street 1:965 MOUNTAIN VIEW RD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22406-4427
Practice Address - Country:US
Practice Address - Phone:910-489-0929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701012889101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health