Individual
ANGELA CHARLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1593 SPRING HILL RD STE 750, VIENNA, VA 22182-2245
(646) 457-9187
Mailing address
5166 BASKERVILLE ST, DUBLIN, VA 24084-3645
(703) 371-5844
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009867
VA
101YP2500X
Professional Counselor
7345
OK
Other
Enumeration date
06/26/2020
Last updated
11/08/2021
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