Individual
MS. ELIZABETH M KOIVISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
1500 E LITTLE CREEK RD, SUITE 205, NORFOLK, VA 23518-4137
(757) 587-4744
Mailing address
210 CARLISLE WAY, NORFOLK, VA 23505-4330
(757) 390-4321
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701007084
VA
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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