Individual
CHANETTA BOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4709 MASON DALE DR, NORTH CHESTERFIELD, VA 23234-6080
(804) 921-1928
Mailing address
4709 MASON DALE DR, NORTH CHESTERFIELD, VA 23234-6080
(804) 921-1928
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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