Individual
THOMAS JAMAAR GORHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHP-A
Contact information
Practice address
6000B JEFFERSON AVE, NEWPORT NEWS, VA 23605-3266
(757) 933-2660
Mailing address
601 MICHIGAN DR APT F, HAMPTON, VA 23669-5703
(252) 292-7147
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
VA
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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