MEDICARE: GABRIELLE B PASCUAL MA, LPC, 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	101YP2500X	Professional Counselor	0701008288	VA

General Provider Information

NPI Number	:	1942864970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLE B PASCUAL MA, LPC, NCC

Provider Business Mailing Address
First Line	:	341 MAIN ST
Second Line	:
City	:	SMITHFIELD
State	:	VA
Zip	:	23430-1345
Country	:	US
Telephone Number	:	757-356-1813
Fax Number	:	757-356-1813

Provider Business Practice Location Address
First Line	:	341 MAIN ST
Second Line	:
City	:	SMITHFIELD
State	:	VA
Zip	:	23430-1345
Country	:	US
Telephone Number	:	757-356-1813
Fax Number	:	757-356-1813

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

Provider Enumeration Date	:	04/25/2019
Last Update Date	:	07/11/2024

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