Individual
STEPHANIE MERCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 COLISEUM XING STE 5142, HAMPTON, VA 23666-5971
(757) 654-3194
Mailing address
740 WALKER RD, BUNNLEVEL, NC 28323-8213
(910) 605-8948
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS27285
NC
101YM0800X
Mental Health Counselor
0704014433
VA
Other
Enumeration date
05/04/2021
Last updated
10/08/2024
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