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Individual

MS. CARVEL U TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW CAC

Contact information

Practice address
1500 LITTLE CREEK ROAD, SUITE 205, NORTOLK, VA 23518
(757) 587-4744
(757) 587-4947
Mailing address
1500 LITTLE CREEK ROAD, SUITE 205, NORTOLK, VA 23518
(757) 587-4744
(757) 587-4947

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
89309
VA
104100000X
Social Worker
0904002856
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008923868
VA
01
215757
ANTHEM BC
VA
Enumeration date
11/21/2005
Last updated
09/24/2009
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