MEDICARE: CHAVON BLOWE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0701011325	VA
2	101YP2500X	Professional Counselor	10393	SC

General Provider Information

NPI Number	:	1427688126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHAVON BLOWE

Provider Business Mailing Address
First Line	:	1863 GALSWORTHY WAY
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-6385
Country	:	US
Telephone Number	:	757-309-6233
Fax Number	:

Provider Business Practice Location Address
First Line	:	1863 GALSWORTHY WAY
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-6385
Country	:	US
Telephone Number	:	757-309-6233
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2020
Last Update Date	:	04/23/2026

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Directions to “ CHAVON BLOWE ” Practice Location

Language	Start Address	Practice Location

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