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BEST PRACTICES COACHING COUNSELING CONSULTATION & TRAINING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DOUGLAS JAY NEWSOME LPC, LSATP, CSOTP (CHIEF EXECUTIVE OFFICER)
(757) 333-1421
Entity
Organization

Contact information

Practice address
411 LAKE CREST DR, CHESAPEAKE, VA 23323-1734
(757) 333-1421
(757) 485-3222
Mailing address
411 LAKE CREST DR, CHESAPEAKE, VA 23323-1734
(757) 333-1421
(757) 485-3222

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
0812000014
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000051
VA
101YP2500X
Professional Counselor
Primary
0701002816
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
154705001
DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES
VA
Enumeration date
03/30/2011
Last updated
03/30/2011
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