Individual
CHARITA THREATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
105 HOLLY HILL DIVE, PETERSBURG, VA 23805
(804) 733-8847
Mailing address
105 HOLLY HILL DIVE, PETERSBURG, VA 23805
(804) 733-8847
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701006556
VA
101YP2500X
Professional Counselor
Primary
93535
TX
Other
Enumeration date
09/02/2016
Last updated
01/08/2024
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