Individual
GEROD STUKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BBS, ACC, APM, CSAC,
Contact information
Practice address
1258 HOLLAND RD, SUFFOLK, VA 23434-6313
(757) 809-4771
(757) 353-4451
Mailing address
1258 HOLLAND RD, SUFFOLK, VA 23434-6313
(175) 780-9477
(757) 353-4451
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3108
—
Other
Enumeration date
12/31/2021
Last updated
12/31/2021
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