Individual
MARTIN CIOCCA VASINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
450 OAKMEARS CRES APT 203, VIRGINIA BEACH, VA 23464-5470
(971) 864-0557
Mailing address
1202 COPPER STONE CT, CHESAPEAKE, VA 23320-8235
(971) 864-0557
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C5996
OR
Other
Enumeration date
01/25/2021
Last updated
10/11/2022
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