Individual
MR. GLENROY JEROME ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
102 HERITAGE WAY NE, SUITE 302, LEESBURG, VA 20176-4544
(703) 771-5100
(703) 777-0170
Mailing address
109 CALEDONIA DR, MARTINSBURG, WV 25401-5196
(304) 262-1572
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003824
VA
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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