Organization
INSTITUTE FOR PSYCHOLOGICAL & HEALTH DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA KOKOLIS (MANAGING MEMBER)
(757) 592-2098
Entity
Organization
Contact information
Practice address
5388 DISCOVERY PARK BLVD, SUITE 110 A, WILLIAMSBURG, VA 23188-8218
(757) 903-5752
Mailing address
5388 DISCOVERY PARK BLVD, SUITE 110 A, WILLIAMSBURG, VA 23188-8218
(757) 903-5752
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701005678
VA
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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