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Individual

WENDY COUCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
12093 GAYTON RD, HENRICO, VA 23238-3401
(804) 205-3408
Mailing address
12093 GAYTON RD, HENRICO, VA 23238-3401

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701006657
VA

Other

Enumeration date
03/18/2019
Last updated
05/15/2019
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