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Individual

ERIC T SCALISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC, LMFT

Contact information

Practice address
372 MCLAWS CIRCLE, # 2, WILLIAMSBURG, VA 23185
(757) 564-3100
(757) 564-3500
Mailing address
372 MCLAWS CIRCLE, # 2, WILLIAMSBURG, VA 23185
(757) 564-3100
(757) 564-3500

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
323719
BLUE CROSS / BLUE SHIELD
VA
Enumeration date
10/25/2006
Last updated
07/08/2007
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