Individual
MS. TONI YVETTE RUDISILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3210 CHURCHLAND BLVD STE 2, CHESAPEAKE, VA 23321-5253
(757) 966-2162
Mailing address
4105 BELVEDERE DR, CHESAPEAKE, VA 23321-5413
(757) 405-8665
(757) 686-9797
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701007822
VA
Other
Enumeration date
11/11/2018
Last updated
11/11/2018
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