Individual
JOHN M PARADISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
297 INDEPENDENCE BLVD STE 300, VIRGINIA BEACH, VA 23462-2911
(757) 385-0850
(757) 473-2136
Mailing address
297 INDEPENDENCE BLVD STE 300, VIRGINIA BEACH, VA 23462-2911
(757) 385-0850
(757) 473-2136
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904003025
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8942358
—
VA
Enumeration date
01/11/2006
Last updated
12/19/2024
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