MEDICARE: GAIL E SANTARELLI LPC, LSATP, NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	0718000135	VA
2	101YP2500X	Professional Counselor	0701002705	VA

General Provider Information

NPI Number	:	1558485649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAIL E SANTARELLI LPC, LSATP, NCC

Provider Business Mailing Address
First Line	:	10049 MIDLOTHIAN TPKE STE B2
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-4859
Country	:	US
Telephone Number	:	804-218-4319
Fax Number	:

Provider Business Practice Location Address
First Line	:	10049 MIDLOTHIAN TPKE
Second Line	:	SUITE B2
City	:	RICHMOND
State	:	VA
Zip	:	23235-4859
Country	:	US
Telephone Number	:	804-320-7813
Fax Number	:	804-323-0602

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	04/03/2026

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