Individual
LERESE A DEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10900 NUCKOLS RD STE 100, GLEN ALLEN, VA 23060-9277
(804) 207-6737
Mailing address
10900 NUCKOLS RD STE 100, GLEN ALLEN, VA 23060-9277
(804) 207-6737
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007692
VA
Other
Enumeration date
06/05/2019
Last updated
11/20/2023
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