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Organization

A PHOENIX LIFE COUNSELING & CONSULTING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIELLE MALENA HULSE LPC (OWNER)
(757) 713-2014
Entity
Organization

Contact information

Practice address
18 CHIPPEWA TRL, PORTSMOUTH, VA 23701-2412
(757) 713-2014
(757) 392-0702
Mailing address
18 CHIPPEWA TRL, PORTSMOUTH, VA 23701-2412
(757) 713-2014
(757) 392-0702

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
11/16/2024
Last updated
11/26/2024
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