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Mr. Carlson Mccoy Pendleton I, LCSW
Mental Health Counselor in Hampton, Virginia
NPI 1053375899

Carlson Mccoy Pendleton I is a Mental Health Counselor based in Hampton, VA and is specialized in Mental Health. Carlson Mccoy Pendleton I practices in Hampton, VA and has the professional credentials of LCSW. The NPI Number for Carlson Mccoy Pendleton I is 1053375899 and holds a License No. 0904001601 (Virginia).

The current practice location address for Carlson Mccoy Pendleton I is 100 Emancipation Dr, Hampton, VA and can be reached out via phone at 757-722-9961.

Location: 100 Emancipation Dr, Hampton, VA, 23663-1614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053375899
Provider Name
Carlson Mccoy Pendleton I
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
100 Emancipation Dr, Hampton, VA, 23663-1614
Phone Number
757-722-9961
Fax Number
Provider Enumeration Date
04/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
100 Emancipation Dr
City
Hampton
State
Virginia
Zip
23667-0001
Phone Number
757-722-9961
Fax Number
person
Provider Business Mailing Address Details
Address
100 Emancipation Dr
City
Hampton
State
Virginia
Zip
23667-0001
Phone Number
757-722-9961
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
0904001601 (Virginia)
Definition
Definition to come...
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