Provider Demographics
NPI:1912510991
Name:VAN NOSTERN, BRIAHNA (LPC, CSAC)
Entity Type:Individual
Prefix:
First Name:BRIAHNA
Middle Name:
Last Name:VAN NOSTERN
Suffix:
Gender:F
Credentials:LPC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:669 PINEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-4772
Mailing Address - Country:US
Mailing Address - Phone:757-778-2305
Mailing Address - Fax:
Practice Address - Street 1:669 PINEBROOK DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-4772
Practice Address - Country:US
Practice Address - Phone:757-778-2305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701009832101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health