Individual
FARHEEN NAVEED NUCKOLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
1301 N 33RD ST, RICHMOND, VA 23223-6898
(804) 298-9724
Mailing address
1301 N 33RD ST, RICHMOND, VA 23223-6898
(804) 298-9724
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710103850
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
1796
TN
Other
Enumeration date
03/12/2024
Last updated
01/29/2026
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