Individual
DOUGLAS J NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LSATP
Contact information
Practice address
850 TIDEWATER DR, NORFOLK, VA 23504-3300
(757) 663-7510
(757) 533-9634
Mailing address
850 TIDEWATER DR, NORFOLK, VA 23504-3300
(757) 663-7510
(757) 533-9634
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000051
VA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
0701002816
VA
Other
Enumeration date
04/03/2009
Last updated
09/24/2024
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