Individual
J BRIAN SUCHOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
709 W MAIN ST STE A, CHARLOTTESVILLE, VA 22903-4570
(434) 326-4577
Mailing address
410 CARLTON RD, CHARLOTTESVILLE, VA 22902-5930
(434) 328-0793
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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