Individual
ASHLEY LEZA BOLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3113 W MARSHALL ST APT 609, RICHMOND, VA 23230-4742
(703) 650-8586
Mailing address
3113 W MARSHALL ST APT 609, RICHMOND, VA 23230-4742
(703) 650-8586
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701012469
VA
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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