Individual
MRS. ROXANNE N COSTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC RESIDENT
Contact information
Practice address
291 INDEPENDENCE BLVD STE 532, VIRGINIA BEACH, VA 23462-5473
(757) 962-6889
Mailing address
6585 STONEY PT N, NORFOLK, VA 23502-3923
(757) 506-1151
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0704011553
VA
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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