Individual
REGINA T DMOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAC,ICADC, SAP
Contact information
Practice address
117 W 21ST ST, SUITE 209, NORFOLK, VA 23517-2246
(757) 613-8549
(757) 228-3061
Mailing address
117 W 21ST ST, SUITE 209, NORFOLK, VA 23517-2246
(757) 613-8549
(757) 228-3061
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
125312
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC-4066
CT
101YP2500X
Professional Counselor
SAP20172
VA
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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