Individual
AISHA GRAY HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9809 TARTUFFE DR, HENRICO, VA 23238-4932
(404) 759-7830
Mailing address
9702 GAYTON RD # 135, RICHMOND, VA 23238-4907
(404) 759-7830
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904009521
VA
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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