Individual
MIA ALPHONSA WOOLDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, M ED
Contact information
Practice address
5461 NILES RD, NORTH CHESTERFIELD, VA 23234-4917
(804) 856-0593
Mailing address
5461 NILES RD, NORTH CHESTERFIELD, VA 23234-4917
(804) 856-0593
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704015686
VA
Other
Enumeration date
02/03/2025
Last updated
02/17/2025
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