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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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Norfolk
State
Virginia
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
Norfolk
State
Virginia
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
101YA0400X
License No.
0710102215 (Virginia)
Definition
Definition to come...
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