Provider Demographics
NPI:1326489766
Name:WASIELEWSKI, LINDA JOYCE (NCC LPCA)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:JOYCE
Last Name:WASIELEWSKI
Suffix:
Gender:F
Credentials:NCC LPCA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:625 MILL LANDING RD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-8302
Mailing Address - Country:US
Mailing Address - Phone:757-549-0794
Mailing Address - Fax:757-549-0794
Practice Address - Street 1:400 S WATER ST
Practice Address - Street 2:SUITE 202
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-4965
Practice Address - Country:US
Practice Address - Phone:252-338-0098
Practice Address - Fax:252-335-1493
Is Sole Proprietor?:No
Enumeration Date:2013-07-15
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA10238101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health