Individual
MATTHEW TANNER GERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1903 HUMANKIND WAY, LYNCHBURG, VA 24503-6313
(434) 846-1124
(434) 846-1052
Mailing address
1903 HUMANKIND WAY, LYNCHBURG, VA 24503-6313
(434) 846-1124
(434) 846-1052
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701011265
VA
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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