Individual
ALYSSA JOY PENROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1075 LIGHT BLVD, FOREST, VA 24551-5094
(888) 808-6050
Mailing address
1075 LIGHT BLVD, FOREST, VA 24551-5094
(888) 808-6050
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717002476
VA
Other
Enumeration date
08/02/2025
Last updated
08/24/2025
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