Individual
MARY GIENCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
638 INDEPENDENCE PKWY STE 240, CHESAPEAKE, VA 23320-5222
(757) 965-5886
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
0701006852
VA
Other
Enumeration date
12/12/2016
Last updated
03/20/2025
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