Organization · Type 2 NPI
Restorer of Broken Walls PC
Counselor · Chesapeake, VA
NPI number
1811080047
Active
Practice location
644 Independence Parkway, Suite 200
Chesapeake, VA 23320
Fax (757) 547-1118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1811080047
Restorer of Broken Walls PC's National Provider Identifier is 1811080047, issued on Oct 2, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Chesapeake, VA. The record was last updated on Aug 20, 2024.