Provider Demographics
NPI:1174170633
Name:GAMEZ, CLAUDIA RUBIDIA (LPC)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:RUBIDIA
Last Name:GAMEZ
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 1:6611 JEFFERSON ST STE 301
Mailing Address - Street 2:
Mailing Address - City:HAYMARKET
Mailing Address - State:VA
Mailing Address - Zip Code:20169-4902
Mailing Address - Country:US
Mailing Address - Phone:703-209-8496
Mailing Address - Fax:
Practice Address - Street 1:6611 JEFFERSON ST STE 301
Practice Address - Street 2:
Practice Address - City:HAYMARKET
Practice Address - State:VA
Practice Address - Zip Code:20169-4902
Practice Address - Country:US
Practice Address - Phone:703-209-8496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-20
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008548101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional