Individual
MR. CLINTON MATTHEW GERMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LPC LMHC NCC RPT
Contact information
Practice address
7460 CENTRAL BUSINESS PARK DR, NORFOLK, VA 23513-2818
(757) 633-3201
(757) 622-2011
Mailing address
7460 CENTRAL BUSINESS PARK DR, NORFOLK, VA 23513-2818
(757) 633-3201
(757) 622-2011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
004537
NY
101YP2500X
Professional Counselor
Primary
0701005879
VA
Other
Enumeration date
05/16/2007
Last updated
11/11/2014
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