Individual
MEGAN A SWEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Contact information
Practice address
256 N WITCHDUCK RD, SUITE G, VIRGINIA BEACH, VA 23462-6544
(757) 497-3670
(757) 499-1947
Mailing address
256 N WITCHDUCK RD, SUITE G, VIRGINIA BEACH, VA 23462-6544
(757) 497-3670
(757) 499-1947
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710101795
VA
101YP2500X
Professional Counselor
Primary
0701003603
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010272271
—
VA
01
—
193180
BLUE CROSS BLUE SHEILD
VA
01
—
379096
TRICARE
VA
01
—
AO802344M
SENTARA OPTIMA PPO/POS
VA
Enumeration date
08/17/2006
Last updated
03/29/2011
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