Individual
ALYSSA COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
780 LYNNHAVEN PKWY, VIRGINIA BEACH, VA 23452-7332
(757) 301-9065
Mailing address
921 SANDOVAL DR, VIRGINIA BEACH, VA 23454-7213
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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