Individual
HAL IRWIN IMBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4825 S LABURNUM AVE, RICHMOND, VA 23231-2713
(804) 222-2607
(804) 236-9118
Mailing address
10299 WOODMAN RD, GLEN ALLEN, VA 23060-4419
(804) 727-8500
(804) 727-8580
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710001240
VA
101YP2500X
Professional Counselor
Primary
0701003786
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
083948M
SENTARA
VA
01
—
4945131
VIRGINIA PREMIER
VA
Enumeration date
02/15/2007
Last updated
01/09/2008
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