Organization
PENINSULA COUNSELING CENTER OF VIRGINIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA KAY GRISET LPC (MANAGING MEMBER)
(757) 810-5380
Entity
Organization
Contact information
Practice address
751 THIMBLE SHOALS BLVD, D-3, NEWPORT NEWS, VA 23606-3563
(757) 810-5380
Mailing address
751 THIMBLE SHOALS BLVD, D-3, NEWPORT NEWS, VA 23606-3563
(757) 810-5380
(757) 886-0262
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701003308
VA
Other
Enumeration date
06/16/2012
Last updated
06/16/2012
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