Provider Demographics
NPI:1629822937
Name:FINK, PAUL BRADLEY (LPC)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:BRADLEY
Last Name:FINK
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3609 KINGS LAKE DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-4656
Mailing Address - Country:US
Mailing Address - Phone:757-407-1842
Mailing Address - Fax:
Practice Address - Street 1:2528 LAS BRISAS DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-4264
Practice Address - Country:US
Practice Address - Phone:757-689-0334
Practice Address - Fax:757-689-0350
Is Sole Proprietor?:No
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701013466101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional