Provider Demographics
NPI:1548343627
Name:SETTERLUND, GLORIA (LPC)
Entity type:Individual
Prefix:
First Name:GLORIA
Middle Name:
Last Name:SETTERLUND
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23164 DRAGOON RD
Mailing Address - Street 2:
Mailing Address - City:LIGNUM
Mailing Address - State:VA
Mailing Address - Zip Code:22726-2036
Mailing Address - Country:US
Mailing Address - Phone:703-208-1539
Mailing Address - Fax:703-208-1539
Practice Address - Street 1:23164 DRAGOON RD
Practice Address - Street 2:
Practice Address - City:LIGNUM
Practice Address - State:VA
Practice Address - Zip Code:22726-2036
Practice Address - Country:US
Practice Address - Phone:703-208-1539
Practice Address - Fax:703-208-1539
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003574101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional