| Doctor Name: | MS. GAYLE BRADLEY STARKES |
| NPI Number: | 1033329503 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW-LCSW |
| License Number: | 0904003257 |
| Business Practice Address: | 8925 Leesburg Pike Mbc Vienna, VA - 221821742 |
| Business Phone Number: | 7037708649 |
| Business Fax Number: | 7037905760 |
| Mailing Address: | Mbc - 8925 Leesburg Pike, Vienna VIRGINIA |
| State: | VA |
| Postal Code: | 221821742 |
| Phone Number: | 7037708649 |
| Fax Number: | 7037905760 |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0904003257 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |