Individual
SUSAN WHITE BRODSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC
Contact information
Practice address
5215 COLLEY AVE, NORFOLK, VA 23508-2043
(757) 623-2115
Mailing address
5215 COLLEY AVE, NORFOLK, VA 23508-2043
(757) 623-2115
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701005048
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578861118
—
VA
Enumeration date
05/25/2011
Last updated
05/25/2011
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