Kinga Gudor | |
129 W Virginia Beach Blvd Ste 204a Norfolk VA 23510-2030 | |
(757) 319-5416 | |
(757) 918-8760 |
Full Name | Kinga Gudor |
---|---|
Speciality | Counselor - Mental Health |
Location | 129 W Virginia Beach Blvd Ste 204a, Norfolk, Virginia |
Authorized Official Name and Position | Kinga Gudor (OWNER) |
Authorized Official Contact | 7573195416 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kinga Gudor 1146 Rockbridge Ave Norfolk VA 23508-1418 Ph: (757) 319-5416 | Kinga Gudor 129 W Virginia Beach Blvd Ste 204a Norfolk VA 23510-2030 Ph: (757) 319-5416 |
NPI Number | 1912363698 |
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Provider Enumeration Date | 01/11/2016 |
Last Update Date | 01/11/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912363698 | NPI | - | NPPES |
1508187881 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0904007315 (Virginia) | Primary |
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