Organization
DIAMONDZ IN A ROUGH LLC
Active
Other names
Diamondz in a Rough LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE LATASHA NORMAN LPC-R (CEO)
(804) 301-1129
Entity
Organization
Contact information
Practice address
8712 PROCTORS RUN DR, NORTH CHESTERFIELD, VA 23237-2757
(804) 301-1129
Mailing address
8712 PROCTORS RUN DR, NORTH CHESTERFIELD, VA 23237-2757
(804) 301-1129
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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