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Provider Information for 1548779358


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JOSEPH HUGH GASPERINI LPC


Sex: Male

NPI: 1548779358
Last Updated: 2022-07-21
Certification Date: 2020-08-04

Details

NameValue
NPI1548779358
Enumeration Date2017-09-25
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 220 PARADISE LN
SOUTH BOSTON, VA 24592-3243
United States

Phone: 434-572-4544 | Fax:434-321-5140
 
Primary Practice Address 220 PARADISE LN
SOUTH BOSTON, VA 24592-3243
United States

Phone: 434-572-4544 | Fax:434-321-5140
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalVA0701007226