Provider Demographics
NPI:1396973798
Name:RUZANY, GISELLE (LPC)
Entity type:Individual
Prefix:
First Name:GISELLE
Middle Name:
Last Name:RUZANY
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 1:341 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-4125
Mailing Address - Country:US
Mailing Address - Phone:703-395-7070
Mailing Address - Fax:703-852-3511
Practice Address - Street 1:2604 CONNECTICUT AVE NW
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-1547
Practice Address - Country:US
Practice Address - Phone:703-395-7070
Practice Address - Fax:703-536-4693
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-24
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC13911101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor