Individual
DR. DORSEY THOMAS WESSELLS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
12420 WARWICK BLVD, SUITE 7-C, NEWPORT NEWS, VA 23606-3001
(757) 595-3900
(757) 595-0649
Mailing address
4 GRAHAM DR, NEWPORT NEWS, VA 23606-1422
(757) 930-3925
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717000079
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023905
VALUE OPTIONS ID #
VA
01
—
332260
BC &BS
VA
05
—
5404622
—
VA
Enumeration date
07/12/2006
Last updated
07/09/2007
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