Individual
GWENDOLYN MARIE WALTHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
223 MCLAWS CIR, WILLIAMSBURG, VA 23185-5649
(757) 564-3100
Mailing address
2202 EXECUTIVE DR STE C, HAMPTON, VA 23666-6604
(757) 827-7707
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006367
VA
Other
Enumeration date
11/03/2015
Last updated
03/19/2025
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