Individual
MRS. DEONA L MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHP-A, CSAC
Contact information
Practice address
222 W 19TH ST, NORFOLK, VA 23517-2218
(757) 965-8695
Mailing address
222 W 19TH ST, NORFOLK, VA 23517-2218
(757) 965-8695
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710103575
VA
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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