Individual
MS. MARISA C MYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LMHP-R
Contact information
Practice address
5267 GREENWICH RD STE 101E, VIRGINIA BEACH, VA 23462-6028
(757) 206-2378
Mailing address
1449 HAMBLEDON LOOP, CHESAPEAKE, VA 23320-3099
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704012084
VA
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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