Individual
ANN JANE VARATHARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
222 W 19TH ST, NORFOLK, VA 23517-2218
(757) 941-5252
Mailing address
222 W 19TH ST, NORFOLK, VA 23517-2218
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
221700000X
Art Therapist
—
—
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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