TERRENCE TANNER

PORTSMOUTH, VA
NPI1750719407
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: VA  0904005040)
Enumeration Date2013-10-16
Last Update Date2013-10-16
Business Address
Mr. TERRENCE TANNER LCSW
4000 COAST GUARD BLVD HSWL
PORTSMOUTH, VA 23703-2135
Phone number: 757-686-4036
Mailing Address
Mr. TERRENCE TANNER LCSW
4000 COAST GUARD BLVD HSWL
PORTSMOUTH, VA 23703-2135
Phone number: 757-686-4036