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NPI Code Detail

MEDICARE: MS. MARCIA VIVIANE BRETAS LPC

MEDICARE: MS. MARCIA VIVIANE BRETAS LPC
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
1101YM0800XMental Health Counselor0704012553VA

General Provider Information

NPI Number : 1184333544
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARCIA VIVIANE BRETAS LPC
Provider Business Mailing Address
First Line : 2713 DEERFIELD CRES
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23321-2447
Country : US
Telephone Number : 757-956-6100
Fax Number : 757-956-6101
Provider Business Practice Location Address
First Line : 3217 WESTERN BRANCH BLVD STE C
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23321-5235
Country : US
Telephone Number : 757-956-6100
Fax Number : 757-956-6101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2022
Last Update Date : 11/15/2022

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