Organization
PENINSULA PASTORAL COUNSELING CENTER INC.
Active
Other names
Peninsula Pastoral Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA E. GLASS (EXECUTIVE DIRECTOR)
(757) 873-2273
Entity
Organization
Contact information
Practice address
707 GUM ROCK COURT, NEWPORT NEWS, VA 23606
(757) 873-2273
(757) 873-9422
Mailing address
PO BOX 2546, VIRGINIA BEACH, VA 23450-2546
(757) 340-2864
(757) 340-4278
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
09/14/2006
Last updated
04/15/2020
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