| Chesapeake Community Services Board | |
|
224 Great Bridge Blvd Chesapeake VA 23320-3904 | |
| (757) 547-9334 | |
| Not Available |
| Full Name | Chesapeake Community Services Board |
|---|---|
| Speciality | Counselor - Professional |
| Location | 224 Great Bridge Blvd, Chesapeake, Virginia |
| Authorized Official Name and Position | Tamara Thivierge (REIMBURSEMENT SUPERVISOR) |
| Authorized Official Contact | 7578196219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesapeake Community Services Board 224 Great Bridge Blvd Chesapeake VA 23320-3904 Ph: (757) 547-9334 | Chesapeake Community Services Board 224 Great Bridge Blvd Chesapeake VA 23320-3904 Ph: (757) 547-9334 |
| NPI Number | 1740427418 |
|---|---|
| Provider Enumeration Date | 01/16/2009 |
| Last Update Date | 01/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740427418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701004407 (Virginia) | Primary |
| 106H00000X | Marriage & Family Therapist | 0717001184 (Virginia) | Secondary |
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