Individual
CHARLENA JUDITH CATHERINE CORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1021 EDEN WAY N STE 109, CHESAPEAKE, VA 23320-2776
(757) 410-0223
Mailing address
2570 RIVER WATCH DR, SUFFOLK, VA 23434-8669
(757) 270-3976
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
17869
NC
101YP2500X
Professional Counselor
Primary
0701010974
VA
Other
Enumeration date
11/04/2021
Last updated
07/29/2022
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