Celia Mednick Baskette
Counselor, Professional in Chesapeake, VA. Individual provider (NPI-1).
NPI number1114733763
StatusActive
Last updated in NPPESDec 9, 2024
Details
- NPI
- 1114733763
- Entity type
- Individual (NPI-1)
- Name
- Celia Mednick Baskette
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 9, 2024
- Certification date
- Dec 9, 2024
- Last updated
- Dec 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 0704017579 | VA | Yes |
Practice location
1021 Eden Way N Ste 109Chesapeake, VA 23320-2776
Phone 757-785-5540
Mailing address
604 Crescentwood ArchChesapeake, VA 23320-3580
Phone 757-675-5971
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