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Restorer Of Broken Walls
Counselor in Chesapeake, Virginia
NPI 1811080047

Restorer Of Broken Walls is a Counselor based in Chesapeake, VA. Restorer Of Broken Walls practices in Chesapeake, VA. The NPI Number for Restorer Of Broken Walls is 1811080047 and holds a License No. (Virginia).

The current practice location address for Restorer Of Broken Walls is 644 Independence Parkway, Chesapeake, VA and can be reached out via phone at 757-547-1811 and via fax at 757-547-1118. You can also correspond with Restorer Of Broken Walls through the mailing address at 644 INDEPENDENCE PARKWAY, CHESAPEAKE, VA - 23320 (mailing address contact number: 757-547-1811).

Location: 644 Independence Parkway, Chesapeake, VA, 23320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811080047
Provider Name
Restorer Of Broken Walls
Credential
Provider Entity Type
Organization
Address
644 Independence Parkway, Chesapeake, VA, 23320
Phone Number
757-547-1811
Fax Number
757-547-1118
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
644 Independence Parkway
City
Chesapeake
State
Virginia
Zip
23320
Phone Number
757-547-1811
Fax Number
757-547-1118
person
Provider Business Mailing Address Details
Address
644 Independence Parkway
City
Chesapeake
State
Virginia
Zip
23320
Phone Number
757-547-1811
Fax Number
757-547-1118
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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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