Individual
ELLEN WARREN COMSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.DIV, M.S.
Contact information
Practice address
3312 CEDAR LN, PORTSMOUTH, VA 23703-4104
(757) 623-2700
(757) 623-2700
Mailing address
7305 HAMPTON BLVD, NORFOLK, VA 23505-2923
(757) 623-2700
(757) 640-1058
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003059
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701003059
LICENSED PROF COUNSELOR
VA
Enumeration date
11/07/2006
Last updated
07/09/2007
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