Individual
MRS. LAURIE FOUTS LEBOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT, CRC
Contact information
Practice address
4908 MONUMENT AVE STE 101, RICHMOND, VA 23230-3613
(804) 381-5053
Mailing address
10056 DOE RUN PL, MECHANICSVILLE, VA 23116-6217
(804) 536-2755
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002586
VA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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