Individual
MRS. BRENDA LEE ROBERTS MOOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
3120 LADY MARIAN LN, MIDLOTHIAN, VA 23113-1177
(804) 536-8739
Mailing address
3120 LADY MARIAN LN, MIDLOTHIAN, VA 23113-1177
(804) 536-8739
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005293
VA
101YP2500X
Professional Counselor
19157
TX
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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