Individual
MS. BRANDY N GRESHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CAADC, CSAC
Contact information
Practice address
2461 E LITTLE CREEK RD, NORFOLK, VA 23518-1294
(860) 716-4970
Mailing address
1634 SHEPPARD AVE, NORFOLK, VA 23518-2933
(860) 716-4970
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710103174
VA
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/20/2017
Last updated
05/14/2021
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