Individual
STEPHANIE SHERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
217 E CHURCH ST, MARTINSVILLE, VA 24112-2807
(276) 634-8304
(276) 258-6476
Mailing address
15 CLEVELAND AVE STE 11, MARTINSVILLE, VA 24112-2926
(276) 634-8304
(276) 258-6476
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701006438
VA
101YM0800X
Mental Health Counselor
A9353
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701006438
LICENSE NUMBER
VA
01
—
A9353
LICENSE NUMBER
NC
Enumeration date
10/10/2012
Last updated
06/07/2024
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