Individual provider · Type 1 NPI
Demeitrius M. Whitehurst, B.A., CSAC, QMHP-A-C
Addiction (Substance Use Disorder) Counselor · Norfolk, VA
NPI number
1407331135
Active
Practice location
12388 Warwick Blvd Ste 302, Newport News, Va 23602, Ste 302
Norfolk, VA 23606-2360
Mailing address
12388 Warwick Blvd Ste 302
Newport News, VA 23606-3858
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 0710102215 (VA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1407331135
Demeitrius M. Whitehurst, B.A., CSAC, QMHP-A-C's National Provider Identifier is 1407331135, issued on Sep 27, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Norfolk, VA. The record was last updated on Sep 27, 2018.