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Organization

SAFE HARBOR CHRISTIAN COUNSELING OF HAMPTON ROADS LLC

Active
Parent organization
SAFE HARBOR CHRISTIAN COUNSELING LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SAFE HARBOR CHRISTIAN COUNSELING LLC
Authorized official
JENNIFER MOSKOS (CREDENTIALING COORDINATOR)
(410) 569-9497
Entity
Organization

Contact information

Practice address
728 OXFORD DR, VIRGINIA BEACH, VA 23452-5843
(757) 354-0620
(410) 569-0094
Mailing address
728 OXFORD DR, VIRGINIA BEACH, VA 23452-5843
(757) 354-0620
(410) 569-0094

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004338
VA

Other

Enumeration date
01/06/2012
Last updated
01/06/2012
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