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Individual

MRS. DEBBIE IDEN KIRKWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC, LMFT

Contact information

Practice address
2010 OLD GREENBRIER RD, SUITE B, CHESAPEAKE, VA 23320-2619
(757) 361-6634
(757) 361-6635
Mailing address
3617 STORM BIRD LOOP, VIRGINIA BEACH, VA 23453-2258
(757) 468-8783

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701003728
VA
106H00000X
Marriage & Family Therapist
Primary
0717001104
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
192936
ANTHEM BC/BS
VA
Enumeration date
09/11/2006
Last updated
09/11/2025
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