Individual
LUISIANA CANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LSATP
Contact information
Practice address
17 E MAIN ST, RICHMOND, VA 23219-2109
(804) 506-3849
Mailing address
17 E MAIN ST, RICHMOND, VA 23219-2109
(804) 506-3849
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006658
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336293000
—
VA
Enumeration date
06/16/2016
Last updated
08/27/2021
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