Individual
ANGELICA TYREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6330 N CENTER DR STE 200, NORFOLK, VA 23502-4008
(757) 233-0003
Mailing address
208 THOROUGHBRED LN APT 101, CHESAPEAKE, VA 23320-3062
(804) 943-0117
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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