Individual
NANA ABA ASEDA OTABIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-R
Contact information
Practice address
406 W FRANKLIN ST, RICHMOND, VA 23220-4906
(919) 602-6766
(919) 402-1755
Mailing address
3622 LYCKAN PKWY STE 3002, DURHAM, NC 27707-2572
(919) 602-6766
(919) 402-1755
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704012061
VA
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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