Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Gjaudy N John-Wallace

Individual provider Mental Health Counselor · NPI 1083569909

Mrs. Gjaudy N John-Wallace is a Mental Health Counselor in Annandale, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2026

Practice location Address checks out

5105Q Backlick Rd
Annandale, VA 22003-6072
Phone: (703) 997-2737
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 070416920 (VA)

Record details

NPI number1083569909
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 4, 2026
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

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