Individual
MRS. SANTANNA DENISE VASTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRC
Contact information
Practice address
575 LYNNHAVEN PKWY STE 305, VIRGINIA BEACH, VA 23452-7350
(757) 274-8228
Mailing address
575 LYNNHAVEN PKWY STE 305, VIRGINIA BEACH, VA 23452-7350
(757) 274-8228
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704017375
VA
Other
Enumeration date
07/05/2024
Last updated
09/18/2024
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