Individual
DONNA H DETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 S MAIN ST, HARRISONBURG, VA 22801-3628
(540) 437-1605
Mailing address
911 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-5355
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004793
VA
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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