Individual
MRS. AMY HELENE DAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7447 CENTRAL BUSINESS PARK DR, NORFOLK, VA 23513-2867
(757) 756-5600
Mailing address
7447 CENTRAL BUSINESS PARK DR, NORFOLK, VA 23513-2867
(577) 565-6007
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904004768
VA
104100000X
Social Worker
0904004768
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
384747
TRIGON
VA
05
—
8937826
—
VA
05
—
8937834
—
VA
05
—
8937842
—
VA
Enumeration date
11/09/2006
Last updated
06/27/2023
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