Individual
TISHA PARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3908 NINE MILE RD, RICHMOND, VA 23223-4913
(804) 727-8924
Mailing address
107 S 5TH ST, RICHMOND, VA 23219-3825
(804) 819-4000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004714
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4945255
—
VA
Enumeration date
12/01/2009
Last updated
04/22/2025
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