Mr. Gerome Cornell Surrell III
Mr. Gerome Cornell Surrell III is a Mental Health Counselor in Stockton, California. Licensed in California. Registered with an NPI since 2015.
- Licensed in
- CA
- In the registry since
- 2015
Practice location Address checks out
440 N El Dorado StStockton, CA 95202-1950
Phone: (209) 888-4519
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X (CA) |
|---|
Record details
| NPI number | 1790170827 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 6, 2015 |
| Last updated in NPPES | April 6, 2015 |
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