Organization
THE CHILDREN AND ADULT COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL WALKER JR. PH.D. (OWNER/PROVIDER AUTHORIZED OFFICIAL)
(757) 627-1099
Entity
Organization
Contact information
Practice address
930 MAJESTIC AVE STE 100, NORFOLK, VA 23504-4055
(757) 627-1099
(757) 640-0954
Mailing address
930 MAJESTIC AVE STE 100, NORFOLK, VA 23504-4055
(757) 627-1099
(757) 640-0954
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
08/25/2020
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