Individual
INGRID LOCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2623 PARK AVE, PETERSBURG, VA 23805-2420
(804) 471-4711
Mailing address
3412 CLUB HOUSE CT APT C, RICHMOND, VA 23294-8744
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0709025494
VA
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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