| 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 |
|---|---|
| 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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