| NPI | 1528087616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIANNE HARMON Office Manager 757-490-6960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 07010001157) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701002379) |
| 1041C0700X Social Worker Clinical (Licence: VA 0904002454) | |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717000866) | |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717000080) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2014-07-23 |