Organization
ATHALIA EASON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ATHALIA EASON LPC, CRC (OWNER)
(540) 656-3662
Entity
Organization
Contact information
Practice address
1900 BYRD AVE, SUITE 204, RICHMOND, VA 23230-3033
(540) 656-3662
Mailing address
5365 DICKERSON RD, PARTLOW, VA 22534-9609
(540) 656-3662
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701005618
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
0701005618
VA
101YM0800X
Mental Health Counselor
0701005618
VA
101YP2500X
Professional Counselor
Primary
0701005618
VA
Other
Enumeration date
11/05/2013
Last updated
02/25/2014
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