Organization
THE CHILDREN AND ADULT COUNSELING CENTER LLC
Active
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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