Individual
MR. MERLIN SWARTZENTRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
RESTORER OF BROKEN WALLS, 2697 INTERNATIONAL PKWY, PARKWAY TWO, STE 107, VIRGINIA BEACH, VA 23452
(757) 547-1811
(757) 547-1118
Mailing address
5230 MORRIS NECK RD, VIRGINIA BEACH, VA 23457-1322
(757) 426-5225
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003473
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861562472
—
VA
Enumeration date
09/25/2006
Last updated
07/21/2022
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