Individual
JERRY DWAYNE STURGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
220 CLAY DR, POUNDING MILL, VA 24637-4320
(276) 963-3606
(276) 963-3747
Mailing address
220 CLAY DR, POUNDING MILL, VA 24637-4320
(276) 963-3606
(276) 963-3747
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701007907
VA
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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