Individual
CELIA MEDNICK BASKETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 EDEN WAY N STE 109, CHESAPEAKE, VA 23320-2776
(757) 785-5540
Mailing address
604 CRESCENTWOOD ARCH, CHESAPEAKE, VA 23320-3580
(757) 675-5971
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0704017579
VA
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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