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Organization
PENINSULA COUNSELING CENTER OF VIRGINIA, LLC
Active
Organization
PENINSULA COUNSELING CENTER OF VIRGINIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA KAY GRISET LPC (MANAGING MEMBER)
(757) 810-5380
Entity
Organization
Contact information
Practice address
751 THIMBLE SHOALS BLVD, D-3, NEWPORT NEWS, VA 23606-3563
(757) 810-5380
Mailing address
751 THIMBLE SHOALS BLVD, D-3, NEWPORT NEWS, VA 23606-3563
(757) 810-5380
(757) 886-0262
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701003308
VA
Other
Enumeration date
06/16/2012
Last updated
06/16/2012
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