Individual
ANGELICA RAE IRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2244 EXECUTIVE DR, HAMPTON, VA 23666-2430
(757) 652-5460
Mailing address
2244 EXECUTIVE DR, HAMPTON, VA 23666-2430
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701012686
VA
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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