Organization
DEEP CONNECTIONS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KINGA GUDOR LCSW, PHD (PSYCHOTHERAPIST)
(757) 319-5410
Entity
Organization
Contact information
Practice address
129 W VIRGINIA BEACH BLVD, NORFOLK, VA 23510-2030
(757) 319-5416
Mailing address
1146 ROCKBRIDGE AVE, NORFOLK, VA 23508-1418
(757) 319-5416
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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