Healthcare Provider Details

I. General information

NPI: 1265324172
Provider Name (Legal Business Name): GABRIELA PASQUIER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2025
Last Update Date: 07/16/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10721 MAIN ST STE 2400
FAIRFAX VA
22030-6902
US

IV. Provider business mailing address

2501N GLEBE ST. STE 303
ARLINGTON VA
22207
US

V. Phone/Fax

Practice location:
  • Phone: 703-270-0225
  • Fax:
Mailing address:
  • Phone: 425-658-2254
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0704018133
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: