Organization
LAKESIDE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA LEITCH-ALFORD LPC (OWNER)
(757) 874-0468
Entity
Organization
Contact information
Practice address
6515 GEORGE WASHINGTON MEM HWY, # 101, YORKTOWN, VA 23692-2182
(757) 714-1838
(757) 321-6269
Mailing address
PO BOX 13296, CHESAPEAKE, VA 23325-0296
(757) 714-1838
(757) 321-6269
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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