Individual
ALYSSA JANE RAISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
Mailing address
13473 STAGE RD, LANEXA, VA 23089-5036
(757) 870-1072
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0704015143
VA
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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