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Organization
PSYCHOTHERAPY RESOURCES OF NORFOLK LTD
Active
Organization
PSYCHOTHERAPY RESOURCES OF NORFOLK LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY ALEXANDRA KEDROCK LCSW (PRESIDENT)
(757) 640-0400
Entity
Organization
Contact information
Practice address
1709 COLLEY AVE, SUITE 312, NORFOLK, VA 23517-1675
(757) 640-0400
(757) 640-0497
Mailing address
1709 COLLEY AVE, SUITE 312, NORFOLK, VA 23517-1675
(757) 640-0400
(757) 640-0497
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4274
VA
103TC0700X
Clinical Psychologist
4274
VA
1041C0700X
Clinical Social Worker
Primary
0904000234
VA
1041C0700X
Clinical Social Worker
4274
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049956
BCBS
VA
01
—
098384
BCBS
VA
01
—
314544
TRICARE
VA
Enumeration date
08/01/2005
Last updated
09/11/2025
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