Individual
CHANELL NICOLE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
509 OLD GREAT NECK RD, VIRGINIA BEACH, VA 23454-3358
(855) 641-1379
Mailing address
509 OLD GREAT NECK RD, VIRGINIA BEACH, VA 23454-3358
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0704015424
VA
Other
Enumeration date
09/01/2020
Last updated
04/26/2023
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