Individual
MARY WILLOUGHBY ROMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9228 GEORGE WASHINGTON MEMORIAL HWY, GLOUCESTER, VA 23061-4162
(804) 695-8120
(804) 695-8122
Mailing address
1516 NEWMOOR DR, GLOUCESTER POINT, VA 23062-2601
(252) 619-0887
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701010029
VA
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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