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Individual

MRS. TAWANDA MCPHATTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2200 BOULEVARD STE C, COLONIAL HEIGHTS, VA 23834-2305
(804) 319-7990
Mailing address
2200 BOULEVARD STE C, COLONIAL HEIGHTS, VA 23834-2305
(804) 319-7990

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701005118
VA

Other

Enumeration date
05/11/2017
Last updated
11/28/2022
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