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Shirley O. Conklin, LPC
Counselor in Chesapeake, Virginia
NPI 1194804575

Shirley O. Conklin is a Counselor based in Chesapeake, VA. Shirley O. Conklin practices in Chesapeake, VA and has the professional credentials of LPC. The NPI Number for Shirley O. Conklin is 1194804575 and holds a License No. 0701003283 (Virginia).

The current practice location address for Shirley O. Conklin is 224 Great Bridge Blvd, Chesapeake, VA and can be reached out via phone at 757-547-9334 and via fax at 757-819-6292. You can also correspond with Shirley O. Conklin through the mailing address at 224 GREAT BRIDGE BLVD, CHESAPEAKE, VA - 23320-3904 (mailing address contact number: 757-547-9334).

Location: 224 Great Bridge Blvd, Chesapeake, VA, 23320-3904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194804575
Provider Name
Shirley O. Conklin
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
224 Great Bridge Blvd, Chesapeake, VA, 23320-3904
Phone Number
757-547-9334
Fax Number
757-819-6292
Provider Enumeration Date
11/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
143676 01 VA ANTHEM TRIGON
484893000 01 VA MAGELLAN HEALTH
089111 01 VA OPTIMA/SENTARA
518306 01 VA VALUE OPTIONS
343506 01 VA FED HEALTH NET TRICARE
institution
Provider Business Practice Location Address Details
Address
224 Great Bridge Blvd
City
Chesapeake
State
Virginia
Zip
23320-3904
Phone Number
757-547-9334
Fax Number
757-819-6292
person
Provider Business Mailing Address Details
Address
224 Great Bridge Blvd
City
Chesapeake
State
Virginia
Zip
23320-3904
Phone Number
757-547-9334
Fax Number
757-819-6292
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
0701003283 (Virginia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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