Individual
BONNIE MARIE MARROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
906 THOMPSON ST, ASHLAND, VA 23005-1128
(727) 205-2077
Mailing address
10299 WOODMAN RD, GLEN ALLEN, VA 23060-4419
(804) 727-8500
(804) 727-8580
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004011
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
248116
ANTHEM
VA
01
—
4945131
VIRGINIA PREMIER
VA
Enumeration date
02/12/2007
Last updated
05/08/2024
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