Individual
ANITA ROSEMARY TIEMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
703 THIMBLE SHOALS BLVD, A-3, NEWPORT NEWS, VA 23606-2576
(757) 873-2307
Mailing address
306 LAUREL PATH RD, YORKTOWN, VA 23692-4647
(757) 898-6782
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701001612
VA
Other
Enumeration date
11/05/2005
Last updated
07/08/2007
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