Individual
MARYANN HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
200 MEDICAL DR, SUITE A, HAMPTON, VA 23666-1763
(757) 788-0200
(757) 788-0950
Mailing address
300 MEDICAL DR, 2ND FLOOR, HAMPTON, VA 23666-1765
(757) 788-0092
(757) 788-0969
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701001712
VA
106H00000X
Marriage & Family Therapist
0717000571
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659424448
—
VA
Enumeration date
08/14/2006
Last updated
04/10/2012
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