Individual
MS. ANN DEWEESE ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2580 POTTERS RD, VIRGINIA BEACH, VA 23454-4324
(757) 498-9391
(757) 498-7073
Mailing address
111 76TH ST, VIRGINIA BEACH, VA 23451-1960
(757) 425-6485
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701001163
VA
106H00000X
Marriage & Family Therapist
Primary
0717000291
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945395
—
VA
01
—
084251
OPTIMA
VA
01
—
258900
ANTHEM NUMBER
VA
Enumeration date
10/24/2006
Last updated
05/15/2009
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