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Individual

ANNE CHAMBERLAIN OLIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
11815 FOUNTAIN WAY STE 300-5409, NEWPORT NEWS, VA 23606-4448
(844) 502-7283
(757) 517-0612
Mailing address
969 LACON DR, NEWPORT NEWS, VA 23608-2526
(844) 502-7283

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
VA
101YM0800X
Mental Health Counselor
0701010423
VA
101YP2500X
Professional Counselor
Primary
0701010423
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0701010423
LICENSE
VA
Enumeration date
04/16/2021
Last updated
03/07/2024
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