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Organization
BEACON PSYCHOTHERAPY SERVICES, LLC
Active
Organization
BEACON PSYCHOTHERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDRIC HARVEY BRICKA LCSW, CSAC (OWNER/CLINICIAN)
(757) 818-4542
Entity
Organization
Contact information
Practice address
3640 S PLAZA TRL STE 103D, VIRGINIA BEACH, VA 23452-3363
(757) 818-4542
(757) 299-3031
Mailing address
3640 S PLAZA TRL STE 103D, VIRGINIA BEACH, VA 23452-3363
(757) 818-4542
(757) 299-3031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
11/13/2017
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