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Mental Health Counselor · Suffolk, VA

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At a glance

4897 Bennetts Pasture Rd #5354, Suffolk, VA 23435-2689

NPPES record updated Mar 14, 2024. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

4897 Bennetts Pasture Rd #5354
Suffolk, VA 23435-2689

Professional details: NPI, taxonomy & registry record

NPI1619527645

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Registry details

Primary taxonomy: Mental Health Counselor
Taxonomy code: 101YM0800X
Enumeration date: Sep 11, 2019
Record updated: Mar 14, 2024

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Mental Health Counselor

101YM0800X · Primary

Specialty details in registry

251S00000X

Specialty details in registry

261QM0801X

Specialty details in registry

261QM0850X

Specialty details in registry

261QM0855X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4897 Bennetts Pasture Rd #5354
Suffolk, VA 23435-2689

Phone: (888) 663-2475
Fax: (888) 663-2475

Mailing address

PO BOX 5354

SUFFOLK, VA 234350354

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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