Individual
CHARLES BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
11835 CANON BLVD STE B107, NEWPORT NEWS, VA 23606-2570
(757) 525-7690
Mailing address
11835 CANON BLVD STE B107, NEWPORT NEWS, VA 23606-2570
(757) 525-7690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701010924
VA
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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