Individual
TAMMY DENISE WHITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S NEWTOWN RD, NORFOLK, VA 23502-5719
(757) 563-3684
Mailing address
8028 PACE RD, NORFOLK, VA 23518-3424
(757) 472-0638
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704012644
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0704012644
LICENSE
VA
Enumeration date
07/14/2020
Last updated
07/14/2020
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