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Individual

JOHN L BRUMFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1657 MERRIMAC TRL, WILLIAMSBURG, VA 23185-5624
(757) 220-3200
(757) 253-4671
Mailing address
611 ASHFORD PL, NEWPORT NEWS, VA 23602-4900

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701002663
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004945301
VA
01
227702
ANTHEM
VA
01
296718
MAGELLAN
VA
01
O89064
OPTIMA
VA
Enumeration date
02/28/2007
Last updated
07/09/2007
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