Individual
JULIA TEETOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4453 SHORE DR, VIRGINIA BEACH, VA 23455-2821
(703) 927-2282
Mailing address
4404 LORING RD, VIRGINIA BEACH, VA 23456-1470
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701009965
VA
Other
Enumeration date
09/23/2020
Last updated
10/14/2021
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