Terri Widen

NPI #1114567666 in Norfolk, Virginia

Provider Information

NPI Number: 1114567666
Entity Type: Individual
Name: Terri Widen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jan 13, 2020
Last Updated: Jan 13, 2020

Practice Location

Address: 110 MAYCOX AVE STE 3
City: Norfolk
State: Virginia
ZIP Code: 23505-3433
Phone: (757) 769-7040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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