Individual
BEVERLY LAIDLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP-R
Contact information
Practice address
2147 OLD GREENBRIER RD, CHESAPEAKE, VA 23320-2635
(757) 970-0353
Mailing address
1022 HOLLYMEADE CIR, NEWPORT NEWS, VA 23602-2013
(856) 359-5188
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
VA
101YM0800X
Mental Health Counselor
Primary
0704009795
VA
Other
Enumeration date
11/18/2020
Last updated
11/21/2020
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