Individual
TANISHA RENETTE VALENZUELA-LANDRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMHP-R
Contact information
Practice address
1315 COBBS KNOB RD, AXTON, VA 24054-1840
(434) 228-8415
(434) 228-8415
Mailing address
1315 COBBS KNOB RD, AXTON, VA 24054-1840
(434) 228-8415
(434) 228-8415
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704015705
VA
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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