Individual
MARY A SANDERFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
289 INDEPENDENCE BLVD, SUITE 312, VIRGINIA BEACH, VA 23462-5493
(757) 385-4537
(757) 385-4533
Mailing address
2473 N LANDING RD, BLDG 23, VIRGINIA BEACH, VA 23456-3404
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005672
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861562472
—
VA
Enumeration date
01/28/2014
Last updated
01/28/2014
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