Individual
BREEZI SHARPE-JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
739 HIGH ST STE 112, PORTSMOUTH, VA 23704-3425
(757) 770-4717
Mailing address
5017 KELSO ST, SUFFOLK, VA 23435-2555
(757) 513-8268
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0709025344
VA
101YM0800X
Mental Health Counselor
0701007534
VA
101YP2500X
Professional Counselor
Primary
0701007534
VA
222Q00000X
Developmental Therapist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/14/2013
Last updated
10/27/2024
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