person
Demeitrius M Whitehurst, BA,CSAC,QMHP-A-C
Addiction (Substance Use Disorder) Counselor in Norfolk, Virginia
NPI 1407331135

Demeitrius M Whitehurst is an Addiction (Substance Use Disorder) Counselor based in Newport News, VA and is specialized in Addiction (Substance Use Disorder). Demeitrius M Whitehurst practices in Norfolk, VA and has the professional credentials of BA,CSAC,QMHP-A-C. The NPI Number for Demeitrius M Whitehurst is 1407331135 and holds a License No. 0710102215 (Virginia).

The current practice location address for Demeitrius M Whitehurst is 12388 Warwick Blvd Ste 302, Newport News, Va 23602, Norfolk, VA and can be reached out via phone at 757-679-6058.

Location: 12388 Warwick Blvd Ste 302, Newport News, Va 23602, Norfolk, VA, 23606-3858
person
Provider Profile Details
NPI Number
1407331135
Provider Name
Demeitrius M Whitehurst
Credential
BA,CSAC,QMHP-A-C
Provider Entity Type
Individual
Gender
Male
Address
12388 Warwick Blvd Ste 302, Newport News, Va 23602, Norfolk, VA, 23606-3858
Phone Number
757-679-6058
Fax Number
Provider Enumeration Date
09/27/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000000 01 NONE
institution
Provider Business Practice Location Address Details
Address
12388 Warwick Blvd Ste 302, Newport News, Va 23602
City
State
Zip
23606-2360
Phone Number
757-679-6058
Fax Number
person
Provider Business Mailing Address Details
Address
12388 Warwick Blvd Ste 302, Newport News, Va 23602
City
State
Zip
23606-2360
Phone Number
757-679-6058
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0710102215 (Virginia)
Definition
Definition to come...
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