Individual
CAMILLA NONTERAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
200 N 22ND ST, RICHMOND, VA 23223-7020
(804) 644-9590
(804) 649-2151
Mailing address
200 N 22ND ST, RICHMOND, VA 23223-7020
(804) 644-9590
(804) 649-2151
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945182
—
VA
Enumeration date
07/09/2014
Last updated
07/09/2014
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