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General NPI Number Information
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NPI Number | 1265548051
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Entity Type | Individual
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Provider Name | VASILIOS A GACIS NCC, LMFT, LPC
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Gender | Male
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 433A CARLISLE DR
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City | HERNDON
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State | VA
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Zip | 20170-4802
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Country | US
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Telephone | 703-481-6001
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5238
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City | HERNDON
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State | VA
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Zip | 20172-1916
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Country | US
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Telephone | 703-481-6001
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701003468
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0717001059
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License Number State | VA
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