Individual
MS. SUSAN ADAMS NIEDENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6330 NEWTOWN RD, SUITE 300, NORFOLK, VA 23502-4802
(757) 466-3336
(757) 455-5750
Mailing address
6330 NEWTOWN RD, SUITE 300, NORFOLK, VA 23502-4802
(757) 466-3336
(757) 455-5750
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701003288
VA
101YP2500X
Professional Counselor
0701003228
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005413010
—
VA
05
—
5413010
—
VA
Enumeration date
10/04/2006
Last updated
12/17/2013
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