Individual
PROF. BRENDA WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
INC
Contact information
Practice address
6253 BUCKLEY HALL RD, COBBS CREEK, VA 23035-2131
(757) 810-2056
Mailing address
PO BOX 31, COBBS CREEK, VA 23035-0031
(757) 810-2056
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11056662
—
VA
Enumeration date
06/02/2020
Last updated
06/02/2020
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