Organization
FORKIDS,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATE HERMANSON LPC (MANAGER OF CLINICAL SERVICES)
(757) 622-6400
Entity
Organization
Contact information
Practice address
131 D VIEW AVE, NORFOLK, VA 23503-2901
(757) 622-6400
(757) 257-0212
Mailing address
4200 COLLEY AVE, NORFOLK, VA 23508-2508
(757) 622-6400
(757) 257-0212
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004678
VA
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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