Individual
CORY DANIEL GERWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
248 W 24TH ST, NORFOLK, VA 23517-1304
(757) 640-0929
Mailing address
222 W 21ST ST # F308, NORFOLK, VA 23517-2200
(757) 640-0929
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701007709
VA
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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