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Organization
PENINSULA PASTORAL COUNSELING CENTER INC.
Active
Organization
PENINSULA PASTORAL COUNSELING CENTER INC.
Active
Other names
Peninsula Pastoral Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA E. GLASS (EXECUTIVE DIRECTOR)
(757) 873-2273
Entity
Organization
Contact information
Practice address
707 GUM ROCK COURT, NEWPORT NEWS, VA 23606
(757) 873-2273
(757) 873-9422
Mailing address
PO BOX 2546, VIRGINIA BEACH, VA 23450-2546
(757) 340-2864
(757) 340-4278
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
09/14/2006
Last updated
04/15/2020
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