Individual
DANTE AIKEEM SUTPHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, CSAC
Contact information
Practice address
3244 DUQUESNE DR, CHESAPEAKE, VA 23321-4030
(757) 392-5695
Mailing address
3244 DUQUESNE DR, CHESAPEAKE, VA 23321-4030
(757) 392-5695
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701010167
VA
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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