Provider Information for 1255842670
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Ms. RICHELLE ARNETTE BURNEY LCSW, CAADC, CSAC
Sex: Female
NPI: 1255842670
Last Updated: 2018-07-12
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||
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| NPI | 1255842670 | ||||||||||||||||
| Enumeration Date | 2017-10-12 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 9535 BAYFRONT DRIVE UNIT 312 NORFOLK, VA 23518 United States Phone: 757-332-1065 | Fax: | ||||||||||||||||
| Primary Practice Address | 4099 FOXWOOD DR STE 200 VIRGINIA BEACH, VA 23462 United States Phone: 757-332-1065 | Fax: | ||||||||||||||||
| Secondary Practice Address(es) | 1712 AIRLINE BLVD | ||||||||||||||||
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