MEDICARE: MARCALE C HONESTY

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1568271526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCALE C HONESTY

Provider Business Mailing Address
First Line	:	1259 HANSON AVE APT B
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23504-2959
Country	:	US
Telephone Number	:	757-949-7833
Fax Number	:

Provider Business Practice Location Address
First Line	:	1259 HANSON AVE APT B
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23504-2959
Country	:	US
Telephone Number	:	757-949-7833
Fax Number	:

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

Provider Enumeration Date	:	01/04/2025
Last Update Date	:	01/04/2025

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Directions to “ MARCALE C HONESTY ” Practice Location

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