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Organization
REWIRED CANVAS PSYCHOTHERAPY LLC
Active
Organization
REWIRED CANVAS PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY ANN KRUK-BORISOV LPC, ATR-BC, CSAC (OWNER / MANAGER)
(757) 589-3498
Entity
Organization
Contact information
Practice address
2200 COLONIAL AVE STE 12, NORFOLK, VA 23517-1919
(757) 589-3498
Mailing address
2200 COLONIAL AVE STE 12, NORFOLK, VA 23517-1919
(757) 589-3498
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
221700000X
Art Therapist
—
—
Other
Enumeration date
10/14/2024
Last updated
03/27/2025
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