Individual
MRS. THERESA MUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4453 SHORE DR, VIRGINIA BEACH, VA 23455-2821
(757) 231-6343
Mailing address
283 CONSTITUTION DR STE 600, VIRGINIA BEACH, VA 23462-6760
(757) 870-7765
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701010392
VA
101YM0800X
Mental Health Counselor
LPC-16965
AZ
Other
Enumeration date
11/20/2017
Last updated
03/22/2023
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