Individual
MRS. DAMITA Y BRAYE-GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C., L.M.F.T.
Contact information
Practice address
1101 MADISON PLZ, SUITE 100, CHESAPEAKE, VA 23320-5179
(757) 548-5884
Mailing address
PO BOX 1182, CHESAPEAKE, VA 23327-1182
(757) 548-5884
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701002336
VA
106H00000X
Marriage & Family Therapist
Primary
0717000175
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087680
SENTERA
VA
01
—
381222
BCBS
VA
01
—
5406188
VA PREMIER HEALTH
VA
Enumeration date
03/20/2007
Last updated
09/11/2025
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