Individual
HEATHER COSIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4736 MICHAUX DR, VIRGINIA BEACH, VA 23464-3228
(757) 317-2948
Mailing address
4736 MICHAUX DR, VIRGINIA BEACH, VA 23464-3228
(850) 530-3807
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH 13768
FL
Other
Enumeration date
08/18/2015
Last updated
10/07/2025
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