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Individual

COLIN HUGH BRADY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
3143 MAGIC HOLLOW BLVD STE 100, VIRGINIA BEACH, VA 23453-3077
(757) 567-2868
(757) 368-3439
Mailing address
5300 ELSTON LN, VIRGINIA BEACH, VA 23455-6892
(757) 305-6665

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701011782
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0701011782
LICENSED PROFESSIONAL COUNSELOR VA BOARD OF COUNSELING
VA
Enumeration date
10/13/2022
Last updated
10/13/2022
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