Individual
MARK GATZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4802 LONG SHOP RD, BLACKSBURG, VA 24060-0836
(540) 632-9350
Mailing address
2727 ELECTRIC RD STE 103, ROANOKE, VA 24018-3500
(540) 354-0911
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704013621
VA
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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