Individual
MRS. LINDA ANN BODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
4310 INDIAN RIVER RD, SUITE 1A, CHESAPEAKE, VA 23325-3100
(757) 420-1000
(757) 420-1003
Mailing address
4310 INDIAN RIVER RD, SUITE 1A, CHESAPEAKE, VA 23325-3100
(757) 420-1000
(757) 420-1003
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710101467
VA
101YP2500X
Professional Counselor
0701003300
VA
106H00000X
Marriage & Family Therapist
Primary
0717001085
VA
Other
Enumeration date
11/28/2016
Last updated
03/18/2017
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