Individual
MR. CHARLES STUART HALLORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
811 W 44TH ST, RICHMOND, VA 23225-4622
(804) 839-9923
Mailing address
811 W 44TH ST, RICHMOND, VA 23225-4622
(804) 839-9923
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005939
VA
Other
Enumeration date
07/16/2016
Last updated
07/16/2016
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