Individual
JOSEPH BENJAMIN ATANACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, MAC, CSAC
Contact information
Practice address
5694 CRANEYBROOK LN APT B, PORTSMOUTH, VA 23703-1729
(757) 698-8822
Mailing address
5694 CRANEYBROOK LN APT B, PORTSMOUTH, VA 23703-1729
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008384
VA
Other
Enumeration date
06/09/2019
Last updated
06/09/2019
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