| Doctor Name: | AMY GERBERRY |
| NPI Number: | 1669779013 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 0701004647 |
| Business Practice Address: | 4089 Kings Hwy King George, VA - 224856647 |
| Business Phone Number: | 6025090293 |
| Business Fax Number: | 5406252177 |
| Mailing Address: | Po Box 1095, KING GEORGE |
| State: | VA |
| Postal Code: | 224851095 |
| Phone Number: | 6025090293 |
| Fax Number: | 5406252177 |
| NPI Enumeration Date: | 02/22/2011 |
| NPI Last Update Date: | 11/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0701004647 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |