Elaine Marie Gullotta, MA
Counselor, Professional in Alexandria, VA. Individual provider (NPI-1).
NPI number1508005000
StatusActive
Last updated in NPPESFeb 7, 2009
Details
- NPI
- 1508005000
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Elaine Marie Gullotta
- Credential
- MA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 7, 2009
- Last updated
- Feb 7, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
106 Cameron Station BlvdAlexandria, VA 22304-7737
Phone 571-723-3219
Mailing address
106 Cameron Station BlvdAlexandria, VA 22304-7737
Phone 703-566-0349
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