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Individual

CHARLISE TERESA JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LSATP

Contact information

Practice address
7846 FOREST HILL AVE STE A, RICHMOND, VA 23225-1931
(804) 201-3739
(804) 566-3505
Mailing address
7400 SUNSWYCK CT, CHESTERFIELD, VA 23832-7848
(804) 201-3739
(804) 566-3505

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000673
VA
101YM0800X
Mental Health Counselor
Primary
0701013441
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30017809290001
VA
05
30017809290002
VA
Enumeration date
07/10/2019
Last updated
07/08/2025
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