MEDICARE: GILLIAN SCHARF LPC, CSOTP

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	101YM0800X	Mental Health Counselor	0701010567	VA

General Provider Information

NPI Number	:	1811642697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GILLIAN SCHARF LPC, CSOTP

Provider Business Mailing Address
First Line	:	2220 DABNEY ROAD
Second Line	:	UNIT 11186
City	:	RICHMOND
State	:	VA
Zip	:	23230-4646
Country	:	US
Telephone Number	:	804-406-9905
Fax Number	:

Provider Business Practice Location Address
First Line	:	2220 DABNEY ROAD
Second Line	:	UNIT 11186
City	:	RICHMOND
State	:	VA
Zip	:	23230-4646
Country	:	US
Telephone Number	:	804-406-9905
Fax Number	:

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

Provider Enumeration Date	:	02/19/2022
Last Update Date	:	09/28/2022

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