Organization
OASIS CLINICAL COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA N DENNIS (OWNER)
(757) 271-9030
Entity
Organization
Contact information
Practice address
3131 AZALEA GARDEN RD # B, NORFOLK, VA 23513-2303
(757) 271-9030
Mailing address
3131 AZALEA GARDEN RD # B, NORFOLK, VA 23513-2303
(757) 271-9030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904007980
VA
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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