Individual
MR. MARK WILMOT PROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.,L.P.C.,L.M.F.T.
Contact information
Practice address
820 UNIVERSITY CITY BLVD, SUITE#1, BLACKSBURG, VA 24060-2708
(540) 961-2380
(540) 961-3408
Mailing address
820 UNIVERSITY CITY BLVD, SUITE#1, BLACKSBURG, VA 24060-2708
(540) 961-2380
(540) 961-3408
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701001291
VA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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