Individual
MS. R LEIGH NORTHRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7460 TIDEWATER DR, NORFOLK, VA 23505-3845
(757) 664-6670
(757) 664-6678
Mailing address
8000 PACE RD, NORFOLK, VA 23518-3424
(757) 480-5040
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0904003572
VA
Other
Enumeration date
05/23/2007
Last updated
12/21/2009
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