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Individual

MS. TWILA ALICIA CHRISTIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1212 POINDEXTER ST, CHESAPEAKE, VA 23324-2457
(757) 904-1807
Mailing address
1212 POINDEXTER ST, CHESAPEAKE, VA 23324-2457
(757) 904-1807

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0733003242
VA
251B00000X
Case Management Agency
253Z00000X
In Home Supportive Care Agency
372500000X
Chore Provider
373H00000X
Day Training/Habilitation Specialist
374U00000X
Home Health Aide
385HR2055X
Child Mental Illness Respite Care
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
09/17/2021
Last updated
09/17/2021
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