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Individual

EILEEN P PIETILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3300 ACADEMY AVE, PORTSMOUTH, VA 23703-3205
(757) 483-6404
(757) 483-0737
Mailing address
118 TORRINGTON CIR, SUFFOLK, VA 23436-1140

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000953
CT

Other

Enumeration date
07/26/2008
Last updated
08/21/2009
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