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NPI Code Detail

MEDICARE: DAVID G FLYNN LPC, CSAC

MEDICARE: DAVID G FLYNN LPC, CSAC
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 Counselor0701008708VA
2101YP2500XProfessional Counselor0701008708VA
3101YA0400XAddiction (Substance Use Disorder) Counselor0710103038VA

General Provider Information

NPI Number : 1518548817
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID G FLYNN LPC, CSAC
Provider Business Mailing Address
First Line : 816 GREENBRIER CIR STE 100
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-2645
Country : US
Telephone Number : 757-301-8747
Fax Number :
Provider Business Practice Location Address
First Line : 816 GREENBRIER CIR STE 100
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-2645
Country : US
Telephone Number : 757-301-8747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2021
Last Update Date : 11/04/2024

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