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Individual

LAVONNE D MCLENDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
43 RIVES RD, SUITE B, PETERSBURG, VA 23805-9255
(804) 728-2138
(804) 728-2138
Mailing address
PO BOX 1997, PETERSBURG, VA 23805-0997
(804) 732-1527
(804) 732-8210

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1477512416
GROUP NPI NUMBER
VA
01
C08729
MEDICARE GROUP NUMBER
VA
Enumeration date
10/23/2006
Last updated
08/18/2023
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