| Growth Counseling, Llc | |
|
1709 Colley Ave Suite 216 Norfolk VA 23517-1675 | |
| (757) 965-3901 | |
| (757) 802-9222 |
| Full Name | Growth Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1709 Colley Ave, Norfolk, Virginia |
| Authorized Official Name and Position | Kathryn Niezgoda (MANAGING MEMBER) |
| Authorized Official Contact | 7572915195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growth Counseling, Llc 1709 Colley Ave Suite 216 Norfolk VA 23517-1675 Ph: () - | Growth Counseling, Llc 1709 Colley Ave Suite 216 Norfolk VA 23517-1675 Ph: (757) 965-3901 |
| NPI Number | 1841622537 |
|---|---|
| Provider Enumeration Date | 08/05/2013 |
| Last Update Date | 08/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841622537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 701005413 (Virginia) | Secondary |
| 101YP2500X | Counselor - Professional | 0701005086 (Virginia) | Primary |
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