Individual
ANICA LAVONNE WALSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
733 COBBS POINT LN, CHESTER, VA 23836-5932
(804) 677-5763
Mailing address
733 COBBS POINT LN, CHESTER, VA 23836-5932
(804) 677-5763
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701011683
VA
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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