Individual
BRIAN JACK COYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
7305 HAMPTON BLVD, NORFOLK, VA 23505-2908
(757) 623-2700
Mailing address
7305 HAMPTON BLVD, NORFOLK, VA 23505-2908
(757) 623-2700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0730000776
VA
106H00000X
Marriage & Family Therapist
Primary
0730000776
VA
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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