Individual
DR. CAROLYN FOSTER TIGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D,LMFT,LPC
Contact information
Practice address
12725 MCMANUS BLVD, BLDG 2 SUITE G, NEWPORT NEWS, VA 23602-4402
(757) 874-1676
(757) 874-2226
Mailing address
12725 MCMANUS BLVD, BLDG 2 SUITE G, NEWPORT NEWS, VA 23602-4402
(757) 874-1676
(757) 874-2226
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701000517
VA
106H00000X
Marriage & Family Therapist
Primary
0717000076
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133084
TRICARE
—
05
—
5400911
—
VA
01
—
56207
ANTHEM
VA
Enumeration date
07/07/2006
Last updated
08/21/2009
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