Individual
MRS. SHARON M. BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
224 GREAT BRIDGE BLVD, CHESAPEAKE, VA 23320-3904
(757) 672-8583
Mailing address
4544 COLUMBUS ST APT 1105, VIRGINIA BEACH, VA 23462-7580
(757) 672-8583
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904012232
VA
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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