Individual
THEA NICOLE LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 24TH ST, FORT LEE, VA 23801-1716
(804) 734-9044
(804) 734-9188
Mailing address
700 24TH ST, FORT LEE, VA 23801-1716
(804) 734-9044
(804) 734-9188
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/02/2009
Last updated
10/18/2023
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