Christie Lynn Van Pelt, LCSW
Social Worker, Clinical in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1720162555
StatusActive
Last updated in NPPESJun 22, 2022
Details
- NPI
- 1720162555
- Entity type
- Individual (NPI-1)
- Name
- Christie Lynn Van Pelt
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2006
- Certification date
- Jun 22, 2022
- Last updated
- Jun 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 0904003855 | VA | Yes |
Practice location
289 Independence BlvdSte 245
Virginia Beach, VA 23462-5493
Phone 757-437-6194 · Fax 757-518-9713
Mailing address
289 Independence BlvdSte 245
Virginia Beach, VA 23462-5493
Phone 757-437-6194 · Fax 757-518-9713
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