Individual
AMBER EASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
505 S INDEPENDENCE BLVD STE 213, VIRGINIA BEACH, VA 23452-1150
(757) 376-8167
Mailing address
505 S INDEPENDENCE BLVD STE 213, VIRGINIA BEACH, VA 23452-1150
(757) 376-8167
(757) 452-4447
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904011246
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/07/2011
Last updated
12/07/2021
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