Individual
DR. MONA JUANITA PETERSON-OMOTOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D. LCPC-AC
Contact information
Practice address
7400 BEAUFONT SPRINGS DRIVE SUITE 300, RICHMOND,, VA 23225
(866) 720-5321
Mailing address
7306 SUMMERTREE DR, NORTH CHESTERFIELD, VA 23234-5935
(866) 720-5321
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
NCCA14946
VA
101YP1600X
Pastoral Counselor
Primary
—
VA
Other
Enumeration date
10/24/2016
Last updated
01/07/2020
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