Individual
BARBARA R. MARDIGIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4906 RADFORD AVE, RICHMOND, VA 23230-3512
(804) 354-1996
(804) 354-5516
Mailing address
4906 RADFORD AVE, RICHMOND, VA 23230-3512
(804) 354-1996
(804) 354-5516
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003649
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
083788M
SENTARA
VA
01
—
174939
ANTHEM
VA
Enumeration date
02/23/2007
Last updated
05/10/2016
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