Individual
ANNA BETH CZACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
253 W BUTE ST, NORFOLK, VA 23510-1403
(757) 578-8240
Mailing address
1011 LARCHMONT CRES, NORFOLK, VA 23508-1402
(757) 285-6747
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701013344
VA
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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