Individual
AMANDA HESLOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1075 LIGHT BLVD, FOREST, VA 24551-5094
(434) 384-1594
Mailing address
1075 LIGHT BLVD, FOREST, VA 24551-5094
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704018812
VA
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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