Individual
MS. SUSAN ANN FROST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
205 HAMPTON HIGHWAY, YORKTOWN, VA 23693-3512
(757) 865-1843
(757) 865-7485
Mailing address
205 HAMPTON HIGHWAY, YORKTOWN, VA 23693-3512
(757) 865-1843
(757) 865-7485
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904003012
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8922071
—
VA
Enumeration date
11/14/2006
Last updated
10/31/2011
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