Individual
BRONWYN L. ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
821 W 21ST ST, SUITE 201, NORFOLK, VA 23517-1500
(757) 775-0970
Mailing address
PO BOX 2083, POQUOSON, VA 23662-0083
(757) 775-0970
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004249
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00004945395
—
VA
01
—
O80311M
OPTIMA
VA
Enumeration date
09/06/2007
Last updated
04/21/2015
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