Organization · Type 2 NPI
Tidewater Psychotherapy Services
Addiction (Substance Use Disorder) Counselor · Virginia Beach, VA
NPI number
1164536496
Active
Practice location
260 Grayson Rd Ste 100
Virginia Beach, VA 23462-4345
Fax (757) 499-1947
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 204 (VA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1164536496
Tidewater Psychotherapy Services's National Provider Identifier is 1164536496, issued on Aug 17, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Virginia Beach, VA. The record was last updated on Jul 21, 2022.