Individual
ENID CANDELARIA-VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3630 S PLAZA TRL, VIRGINIA BEACH, VA 23452-3300
(757) 701-9266
Mailing address
4106 NEPTUNE CT, CHESAPEAKE, VA 23325-2527
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701007409
VA
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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