Mary Giencke | |
609 Independence Pkwy Suite 115 Chesapeake VA 23320-5209 | |
(757) 490-0377 | |
Not Available |
Full Name | Mary Giencke |
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Speciality | Community/behavioral Health |
Location | 609 Independence Pkwy, Chesapeake, Virginia |
Authorized Official Name and Position | Mary Giencke (LPC) |
Authorized Official Contact | 7574900377 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mary Giencke 609 Independence Pkwy Suite 115 Chesapeake VA 23320-5209 Ph: (757) 490-0377 | Mary Giencke 609 Independence Pkwy Suite 115 Chesapeake VA 23320-5209 Ph: (757) 490-0377 |
NPI Number | 1588106801 |
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Provider Enumeration Date | 11/17/2016 |
Last Update Date | 12/07/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588106801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 0701006852 (Virginia) | Primary |
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