Individual
DWAYNE L ELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1809 DARVILLE DR, HAMPTON, VA 23663-1914
(757) 328-3437
Mailing address
1809 DARVILLE DR, HAMPTON, VA 23663-1914
(757) 328-3437
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704005346
VA
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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