Individual
MS. DAMITA PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSAC, LMHP-R
Contact information
Practice address
1704 ROSE AVE, RICHMOND, VA 23222-4927
(804) 874-3208
Mailing address
1704 ROSE AVE, RICHMOND, VA 23222-4927
(804) 874-3208
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710102945
VA
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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