Individual
BRENDA BURKHOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7319 MARTIN ST, 2, GLOUCESTER, VA 23061-5358
(804) 695-2557
(804) 695-0110
Mailing address
PO BOX 460, GLOUCESTER, VA 23061-0460
(804) 695-2557
(804) 695-0110
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005130
VA
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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