Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1164750378 |
---|---|
Provider Name | Dr. Gary L Hulme |
First Address | Fairfax, VA 22033-2104 |
Second Address | Manassas, VA 20110-4409 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2009 |
Last Update Date | 28/11/2009 |