Individual
MR. JAMES PATRICK MORIARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3143 MAGIC HOLLOW BLVD, SUITE 200, VIRGINIA BEACH, VA 23453-3077
(757) 385-4313
Mailing address
640 DECLARATION RD, VIRGINIA BEACH, VA 23462-2253
(757) 499-8585
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
0710102363
VA
1041C0700X
Clinical Social Worker
Primary
0904007327
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861562472
—
VA
Enumeration date
03/22/2010
Last updated
03/22/2010
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