Individual
TAMARA MARDRENA VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC, QMHPC, CSOTP
Contact information
Practice address
25 REGAL WAY, HAMPTON, VA 23669-4680
(757) 714-6782
Mailing address
960 FOREST LAKE DR APT 107, VA BEACH, VA 23464-3628
(757) 714-6009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710103583
VA
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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