person
Mr. Dennis Lee Derbaum, LCSWCSAC
Mental Health Counselor in Virginia Beach, Virginia
NPI 1558324137

Dennis Lee Derbaum is a Mental Health Counselor based in Virginia Beach, VA and is specialized in Mental Health. Dennis Lee Derbaum practices in Virginia Beach, VA and has the professional credentials of LCSWCSAC. The NPI Number for Dennis Lee Derbaum is 1558324137 and holds a License No. CSAC (Virginia).

The current practice location address for Dennis Lee Derbaum is 780 Lynnhaven Pkwy, Virginia Beach, VA and can be reached out via phone at 757-468-0550 and via fax at 757-468-9992. You can also correspond with Dennis Lee Derbaum through the mailing address at 780 LYNNHAVEN PKWY, VIRGINIA BEACH, VA - 23452-7332 (mailing address contact number: 757-468-0550).

Location: 780 Lynnhaven Pkwy, Virginia Beach, VA, 23452-7332
person
Provider Profile Details
NPI Number
1558324137
Provider Name
Dennis Lee Derbaum
Credential
LCSWCSAC
Provider Entity Type
Individual
Gender
Male
Address
780 Lynnhaven Pkwy, Virginia Beach, VA, 23452-7332
Phone Number
757-468-0550
Fax Number
757-468-9992
Provider Enumeration Date
04/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
86080M 01 VA SENTARA OPTIMA
183809 01 VA ANTHEM PPO BCBS
institution
Provider Business Practice Location Address Details
Address
780 Lynnhaven Pkwy
City
State
Zip
23452-7332
Phone Number
757-468-0550
Fax Number
757-468-9992
person
Provider Business Mailing Address Details
Address
780 Lynnhaven Pkwy
City
State
Zip
23452-7332
Phone Number
757-468-0550
Fax Number
757-468-9992
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCSW (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CSAC (Virginia)
Definition
Definition to come...
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