Individual
AMANDA COLEMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 S CORWOOD AVE, VIRGINIA BEACH, VA 23452-1702
(980) 745-9867
Mailing address
114 S CORWOOD AVE, VIRGINIA BEACH, VA 23452-1702
(980) 745-9867
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
VA
101YM0800X
Mental Health Counselor
Primary
—
VA
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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