Organization
WISHING WELL COUNSELING CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANSHEREES LEANN WARD LPC (OWNER/THERAPIST)
(757) 309-1510
Entity
Organization
Contact information
Practice address
707 GITTINGS ST, SUITE 120, SUFFOLK, VA 23434-6101
(757) 514-3428
(757) 514-3428
Mailing address
707 GITTINGS ST, SUITE 120, SUFFOLK, VA 23434-6101
(757) 514-3428
(757) 514-3428
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701005261
VA
Other
Enumeration date
09/04/2015
Last updated
02/01/2022
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